A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections

Abstract EN

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.