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

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 multip...

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Main Authors: Mary S. Baker, Khalil Diab
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2013/832306
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author Mary S. Baker
Khalil Diab
author_facet Mary S. Baker
Khalil Diab
author_sort Mary S. Baker
collection DOAJ
description 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.
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series Case Reports in Critical Care
spelling doaj-art-e238f2f0540945a7bfc205ff6eb93adc2025-02-03T05:58:56ZengWileyCase Reports in Critical Care2090-64202090-64392013-01-01201310.1155/2013/832306832306A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory InfectionsMary S. Baker0Khalil Diab1Pulmonary & Critical Care Medicine, Division of Pulmonary, Allergy, Critical Care Medicine, and Sleep Medicine, Indiana University School of Medicine, Gatch Clinical Building, Room 260, 541 N. Clinical Dr., Indianapolis, IN 46202-5111, USAClinical Medicine, Division of Pulmonary, Allergy, Critical Care Medicine, and Sleep Medicine, Indiana University School of Medicine, 550 N. University Boulevard, UH 4903, Indianapolis, IN 46202, USAThis 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.http://dx.doi.org/10.1155/2013/832306
spellingShingle Mary S. Baker
Khalil Diab
A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections
Case Reports in Critical Care
title A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections
title_full A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections
title_fullStr A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections
title_full_unstemmed A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections
title_short A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections
title_sort 75 year old female with hemoptysis and recurrent respiratory infections
url http://dx.doi.org/10.1155/2013/832306
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