Pulmonary actinomycosis. A cause of endobronchial disease in a patient with AIDS

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.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections* / diagnosis
  • Actinomycosis* / diagnosis
  • Bronchial Diseases* / diagnosis
  • Bronchoscopy
  • Humans
  • Lung Diseases* / diagnosis
  • Male
  • Middle Aged