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We describe our findings in a 58-year-old mentally retarded patient with endobronchial actinomycosis surrounding an aspirated chicken bone foreign body. To our knowledge, this is the first report of such an occurrence Actinomycosis is a rare cause of an endobronchial mass and may strongly suggest a neoplasm. We report our clinical, endoscopic and pathologic findings in a case of solitary bronchial actinomycosis which was, presumably, caused by aspiration of a foreign body.