A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections. (23rd April 2013)

• Record Type: Journal Article
• Authors: Baker, Mary S.; Diab, Khalil
• Other Names: Diez C. Academic Editor.; Egi M. Academic Editor.; Starkopf J. Academic Editor.
• Is Part Of: Case reports in critical care. Volume 2013(2013)
• Publication Date: 2013-04-23
• Subjects: Critical care medicine -- Periodicals; Emergency medicine -- Periodicals; Medical emergencies -- Periodicals; 616.02805
• DOI: 10.1155/2013/832306
• Languages: English
• ISSNs: 2090-6420

Abstract

Abstract : This paper describes the case of a 75-year-old female who presented with significant hemoptysis over a 7–10 day period. She had a history of a left lower lobectomy 10 years prior for a "lung abscess." She subsequently had multiple episodes of cough, fevers, and possible pneumonia treated with multiple courses of Amoxicillin and Amoxicillin/Clavulanate. Review of her chest CT upon presentation to the hospital showed a large necrotic lingular infiltrate, which had been progressively increasing in size over at least one year. Bronchoscopy showed a yellowish, soft round body in the superior lingular subsegment. Endobronchial and transbronchial biopsies showed actinomyces species. This is a very interesting case of indolent actinomycosis which we suspect had a very slow progressive course secondary to the multiple courses of antibiotics that the patient was treated with.