대한기관식도과학회지 (Korean Journal of Bronchoesophagology)
- 제8권2호
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- Pages.56-60
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- 2002
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- 1226-0916(pISSN)
원발성 기관지 방선균증 1예
A Case Report of Primary Endobronchial Actinomycosis
- 유수은 (가톨릭대학교 의과대학 내과학 교실) ;
- 주강 (가톨릭대학교 의과대학 내과학 교실) ;
- 송소향 (가톨릭대학교 의과대학 내과학 교실) ;
- 김치홍 (가톨릭대학교 의과대학 내과학 교실)
- Yu, Su-Eun (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
- Joo, Kang (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
- Song, So-Hyang (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
- KIim, Chi-Hong (Department of Internal Medicine, College of Medicine, The Catholic University of Korea)
- 발행 : 2002.12.01
초록
Actinomycosis is a chronic infectious disease, which is produced by Gram-positive anaerobic organisms, actinomycetes, normally inhabit in the mouth, bowel and female genital tract. Primary endobronchial actinomycosis is relatively rare infection and can be misdiagnosed as endobronchial tuberculosis or malignancies. We experienced a case of primary endobronchial actinomycosis in a 49-year-old man presented with fifteen-days history of hemoptysis and cough. He had a past history of extraction of teeth because of dental caries six months ago. Chest X-ray showed irregular consolidation ad bronchoscopic findings revealed nearly obstruction by tumor mass with active bleeding in RLL. Pathologic finding of the bronchial mass showed sulfur granule with granulation tissue formation. Intravenous administration of penicillin G followed by oral ampicillin therapy for 6 months resulted in marked improvement in symptoms and chest X-ray findings. We report this case with review of literature.