이물질과 관련된 기관지내 방선균증 환자의 단기간 항생제 치료

Abstract

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.