Cendan I, Klapholz A, Talavera W
Division of Pulmonary/Critical Care Medicine, Cabrini Medical Center, New York.
Chest. 1993 Jun;103(6):1886-7. doi: 10.1378/chest.103.6.1886.
We report a case of a 47-year-old man with AIDS who presented with fever, cough and a lingular infiltrate. Flexible fiberoptic bronchoscopy revealed an endobronchial exophytic mass with extensive purulent exudate which on Gram stain and cytology from bronchial washings revealed Actinomyces infection. There was a clinical response to penicillin therapy, and on repeat bronchoscopic examination, there was a partial resolution of the endobronchial infection. To our knowledge, this is the first known case of endobronchial pulmonary actinomycosis in a patient with AIDS.
