이물질과 관련된 기관지내 방선균증 환자의 단기간 항생제 치료
- Journal Title
- Keimyung Medical Journal
- Issued Date
- Endobronchial actinomycosis; Fibrotic bronchoscopy; Fish bone; Foreign body; Hemoptysis
- Actinomycosis is an infrequent chronic granulomatous and suppurative diseases, which belonging
to the normal flora of the oropharynx, gastrointestinal tract and female genitalia. About 15% of
the infections caused by actinomyces involve the thorax. Aspiration of organism from the
oropharynx is the usual source of thoracic actinomyces infection. Foreign body aspiration may
play a role in the development of endobronchial actinomycoces. We report a case of a 66-yearold
woman who presented with a recurrent hemoptysis. Fiberoptic bronchoscopy revealed
edematous and irregular mucosal surface of bronchus embedded with a fish bone. Histologic
examination of the biopsy specimen demonstrated actinomycoces infection. There was a clinical
response to bronchoscopic removal of foreign body followed by short term antibiotics therapy.
We suggests that short term of oral antibiotics therapy combined with a bronchoscopic foreign
body removal might be effective as a long term use of intravenous and oral antibiotics.
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