A case of foreign body aspiration with actinomycosis

Abstract

The patient was a 56-year-old female, who was referred to our clinic for hemoptysis. She had a history of cerebral hemorrhage eight years earlier. Since then, she had been repeatedly admitted to a hospital because of recurring pneumonia. Chest X-ray film and CT scan showed telecasts and destroyed parenchyma in the right lower lobe and a calcified nodule adjacent to the basal bronchus. The patient was diagnosed with broncholithiasis. Thoracoscopic and video-assisted right lower lobotomy was performed. A tooth was found in the granular tissues of the basal bronchus. The episode of aspiration was unknown. We supposed that she had aspirated a tooth when all teeth were extracted 8 years ago. Histologically, actinomycosis was detected in the resected lobe.