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KMID : 1214920130190020110
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Soonchunhyang Medical Science
2013 Volume.19 No. 2 p.110 ~ p.114
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A Case of Primary Endobronchial Actinomycosis Presenting as a Complicated Parapneumonic Effusion
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Lee Ji-Un
Kim Mi-Hee
Kang Jin-Gu
Nam Eun-Sook
Park Yong-Bum
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Abstract
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Endobronchial actinomycosis is a rare but important and challenging diagnosis to make. We report a case of 57 year-old man who presented with a fever and a right-sided chest pain diagnosed as an endobronchial actinomycosis. Chest computed tomography showed a segmental obstruction and consolidations in right middle lobe combined with an ipsilateral multiloculated pleural effusion. Bronchoscopic biopsy of a mass obstructing the medial segmental bronchus of right middle lobe revealed actinomycosis. This is the first reported case of primary endobronchial actinomycosis that presented with a chest pain and a complicated parapneumonic effusion. Primary endobronchial actinomycosis can be a cause of complicated parapneumonic effusion.
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KEYWORD
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Actinomycosis, Bronchial disease, Pleural effusion
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