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. 1996 Feb;51(2):221–222. doi: 10.1136/thx.51.2.221

Pulmonary actinomycosis appearing as a "ball-in-hole" on chest radiography and bronchoscopy.

M J Hsieh 1, W B Shieh 1, K S Chen 1, T J Yu 1, H P Kuo 1, Y H Tsai 1
PMCID: PMC473055  PMID: 8711663

Abstract

A 40 year old diabetic man with pulmonary actinomycosis was admitted to hospital with recurrent haemoptysis. The chest radiograph showed an air meniscus in the left upper lobe, a rare presentation of pulmonary actinomycosis. Bronchoscopic examination revealed a mass in a cavity which has never been reported previously. He underwent lobectomy and the surgical specimen revealed sulphur granules, the typical pathological finding of actinomycosis, without evidence of fungal or mycobacterial infection.

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Selected References

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