Die fremdkörperinduzierte thorakale Actinomykose als Differentialdiagnose der mediastinalen Raumforderung

Abstract

Thoracic actinomycosis is a rare disease often mistaken for malignancy. Untreated actinomycosis is associated with high mortality, the disease should, thus, be considered early. We report the case of a 58-year-old male patient who was referred to us for a suspected thoracic sarcoma. He had 6-month a history of hemoptysis, and there was severe deterioration in his general health. Only in a roundabout way was the diagnosis of thoracic actinomycosis established; it was caused by an aspirated chicken bone, as found by bronchoscopy. All symptoms rapidly regressed by antibiotic therapy and definitive healing was obtained. In the diagnostic work up of thoracic masses that may represent inflammatory diseases, lymphoma, thymus-associated, sarcomatous and germ-cell tumors, bronchoscopy is of primary diagnostic importance.

Endobronchıal actınomycosıs caused by occult foreıgn body aspıratıon

“…We have found 13 endobronchial actinomycosis cases associated with foreign body aspiration in the medical literature. 2 , 3 , 4 , 12 All the patients were over the age of 55 years, with a male predominancy. The most frequent symptom was persistent cough.…”