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A Case of Secondary Organizing Pneumonia Associated with Endobronchial Actinomycosis  

Lee, Byoung Hoon (Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
Lee, Ki-Deok (Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
Kim, Sang Hoon (Department of Internal Medicine, Eulji General Hospital, Eulji University School of Medicine)
Woo, Jeong Joo (Department of Radiology, Eulji General Hospital, Eulji University School of Medicine)
Publication Information
Tuberculosis and Respiratory Diseases / v.62, no.3, 2007 , pp. 227-231 More about this Journal
Abstract
Several types of infection can cause organizing pneumonia when the inflammatory process remains active with the further organization of the intra-alveolar fibrinous exudates, despite the control of the infectious organism by antibiotics. We report a case of 37-year-old male with secondary organizing pneumonia associated with an endobronchial actinomycosis. The patient presented with a subacute cough, sputum and fever. Bronchial biopsy revealed sulfur granule to be consistent with the actinomycosis, and percutaneous needle biopsy revealed typical pattern of organizing pneumonia. The patient was treated with the appropriate antibiotics and corticosteroid. There was rapid improvement in the symptoms and radiological findings, and after six months of treatment, the corticosteroid dose was tapered off without a recurrence of the organizing pneumonia.
Keywords
Bronchiolitis obliterans organizing pneumonia; Actinomycosis; Corticosteroids;
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