Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Primary Endobronchial Actinomycosis

원발성 기관지 방선균증

  • Han, Yun-Chang (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Dong-Kyu (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Mo, Eun-Kyung (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Kim, Dong-Whan (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Park, Myung-Jae (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Lee, Myung-Goo (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Hyun, In-Gyu (Department of Internal Medicine, Hallym University College of Medicine) ;
  • Jung, Ki-Suck (Department of Internal Medicine, Hallym University College of Medicine)
  • 한윤창 (한림대학교 의과대학 내과학교실) ;
  • 김동규 (한림대학교 의과대학 내과학교실) ;
  • 모은경 (한림대학교 의과대학 내과학교실) ;
  • 김동환 (한림대학교 의과대학 내과학교실) ;
  • 박명재 (한림대학교 의과대학 내과학교실) ;
  • 이명구 (한림대학교 의과대학 내과학교실) ;
  • 현인규 (한림대학교 의과대학 내과학교실) ;
  • 정기석 (한림대학교 의과대학 내과학교실)
  • Published : 1996.06.30
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Abstract

We report a case of a 20-year-old woman who presented with fever, dry cough and pulmonary consolidation at the left upper lobe on chest radiograph. Fiberoptic bronchoscopy revealed obstruction of the left upper lobar bronchus with exophytic mass and multiple nodular protruding lesions at the left main bronchus. Endobronchial actinomycosis was confirmed by demonstration of sulfur granule through the bronchoscopic biopsy of nodular lesion. Intravenous administration of penicillin G followed by oral tetracycline therapy for 5 months resulted in complete recovery of symptoms which had been present for 3 months prior to therapy. Infiltrative consolidation on the chest X-ray disappeared and all the lesions shown by bronchoscopy were nearly normalized after 6 months only to remain small nodular remnants at the left main bronchus. Endobronchial actinomycosis should be included in the differential diagnosis of endobronchial mass.

저자들은 발열 및 마른기침을 주소로 내원한 20세 여자에서 기관지내시경검사 및 기관지조직 검사로 기관지 방선균증을 확진하고 소디움페니실린 정맥주사 및 테트라사이클린 경구투여로 완치한 원발성 기관지 방선균증 환자를 경험하였기에 문헌고찰과 함께 보고 하는 바이다.

Keywords