Nihon Kyobu Shikkan Gakkai zasshi · 1992
[A case of bronchial actinomycosis associated with bronchoscopically removed broncholith].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Watanabe N, Nakajima I, Kunikane H, Sukoh N, Takekawa H, Ogura S, Abe S, Kawakami Y
Аннотация
A 57-year-old woman with bronchial actinomycosis associated with broncholith is presented. She had suffered from fever and productive cough for 7 years. Her chest roentgenograms showed atelectasis of the middle lobe and calcification in the middle lobe bronchus. Bronchoscopic examination revealed a broncholith covered with pus and granulomatous tissue. The biopsy specimen revealed sulfur granules containing a partially calcified lesion, and it was diagnosed as actinomycosis. After treatment with antibiotics, the broncholith became movable, and it was removed bronchoscopically. Its shape was like a molding of the right middle lobe bronchus. We speculate that the growth of this broncholith partially resulted from chronic inflammation associated with actinomycelial infection.