2020 Volume 42 Issue 4 Pages 301-305
Background. Pulmonary actinomycosis and foreign body aspiration are indications for surgery. Case. A 70-year-old man with body weight loss, productive cough, and sputum was admitted to the previous hospital. Chest computed tomography (CT) revealed right lower pneumonia and a foreign body in the right lower bronchus. Bronchoscopy revealed a polypoid mass of B8+9, a white foreign body, and suspected actinomycetes on cytology. He received antibiotic therapy for six months. Chest CT revealed improvement of the pneumonia, and bronchoscopy revealed the remaining polypoid mass and foreign body. It was not successfully removed with flexible bronchoscopy. He was therefore referred to our hospital to receive treatment with rigid bronchoscopy. The foreign body and polyp were completely removed by rigid bronchoscopy. During his follow-up visit, he had no recurrence of pulmonary actinomycosis. Conclusion. We successfully treated suspected pulmonary actinomycosis and foreign body aspiration using antibiotics followed by removal of the foreign body via rigid bronchoscopy.
