[Pulmonary actinomycosis as a complication of foreign body aspiration].

Pol Arch Med Wewn

I Klinika Gruźlicy i Chorób Płuc Instytutu Gruźlicy i Chorób Płuc w Warszawie.

Published: February 2002

AI Article Synopsis

  • The paper discusses a case of respiratory actinomycosis that developed after a person accidentally aspirated a citrus fruit stone due to esophagus narrowing and swallowing difficulties caused by ingesting a caustic substance.
  • Initial symptoms mimicked bronchogenic carcinoma, but two histopathological examinations ruled that out, leading to a diagnosis based on findings from a third bronchoscopy and a sputum analysis.
  • Successful treatment involved removing the foreign body from the bronchus and administering prolonged penicillin, which improved the patient's clinical and radiological condition.

Article Abstract

This first polish paper presents respiratory actinomycosis as a complication caused by aspiration of a foreign body. Aspiration of a citrus fruit stone occurred as a result of esophagus stenosis and dysphagia caused by a mistake made by a blind person of drinking a caustic substance. Clinical and bronchoscopic features suggested bronchogenic carcinoma but it's not confirmed by two histopathologic examinations of section from pathological bronchial changes. Diagnosis was based on the morphological picture of sections taken during third fibreoptic bronchoscopy and on cytological sputum examination. Removing the aspired foreign body from bronchus and prolonged penicillin treatment resulted in clinical and radiological amelioration.

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