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Article Synopsis
  • Pulmonary actinomycosis is a rare lung infection caused by the bacterium Actinomyces and is often misdiagnosed as pulmonary tuberculosis or lung cancer due to its uncommon pulmonary presence.
  • Endobronchial actinomycosis, where the infection occurs in the bronchial tubes, is very rare, and there have been instances of broncholithiasis (calcium stones in the bronchial tubes) linked to it.
  • A case study of a 50-year-old male presenting with cough and hemoptysis (coughing up blood) revealed he had endobronchial actinomycosis with broncholithiasis, confirmed through a transbronchial biopsy.
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Article Synopsis
  • Acquired benign tracheoesophageal and bronchoesophageal fistulas (TEFs) are often linked to granulomatous infections, primarily caused by medical interventions, with rare organisms like Candida albicans and Actinomyces involved.
  • A case study describes a patient experiencing symptoms like cough and weight loss, leading to the discovery of a fistula and complications such as actinomycetoma and broncholithiasis due to the dual infection.
  • The report emphasizes the importance of recognizing this uncommon co-infection and provides a diagnostic algorithm to aid healthcare professionals in identifying and treating TEs effectively.
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Middle lobe syndrome revealing Broncholithiasis: A Case Report.

Tunis Med

April 2023

Service de Pneumologie, CHU Mohamed Taher Maamouri Nabeul - Tunisie.

Middle lobe syndrome is a rare but important clinical entity worth investigating in local obstructive or inflammatory cause. One of its rare etiologies is broncholithiasis. We report the observation of a young female patient who presented with recurrent hemoptysis.

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Case Series Summary: Cystic bronchiectasis was diagnosed in three cats with known histories of chronic coughing using CT and histopathology. CT of the lungs revealed large space-occupying lesions that compressed and displaced unaffected pulmonary parenchyma and vessels. The masses were soft tissue attenuating in two cases and gas-cavitated with areas of dependent fluid in one case.

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