Abstract
A 64-year-old male underwent right upper lobectomy for lung cancer. Eighteen months later, he was admitted with fever, chest pain and cough. The chest roentogenogram showed air space in the right apical pleural space and suggested bronchial fistula. Fiberoptic bronchoscopy revealed mucosal swelling and sutures covered with a white coating at the bronchial stump. Actinomycotic sulfur granules were identified by transbronchial biopsy. Bronchial fistula was not detected by bronchography. He underwent treatment with antibiotics and his symptoms and bronchoscopic findings improved. Aspergillosis of the bronchial stump is well known, however, reports of actino-mycosis diagnosed by bronchoscopy are very rare. This case suggests we should be consider the possibility of actino-mycosis at the bronchial stump following resection.
