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Endobronchial actinomycosis in a child
Pierre Goussard1, Helena Rabie1, Michelle Marshall2
1Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg Hospital, Cape Town, South Africa.
Pediatric Pulmonology
|July 15, 2021
Summary
This case study highlights endobronchial actinomycosis in a child, a rare pulmonary infection. Diagnosis via endobronchial biopsy and bronchoalveolar lavage (BAL) confirmed the condition, emphasizing diagnostic challenges.
Area of Science:
- Infectious Diseases
- Pulmonology
- Pediatrics
Background:
- Actinomycosis is a rare, invasive bacterial infection caused by Actinomyces species.
- Pulmonary actinomycosis is exceptionally uncommon in children.
- Typical radiological findings include lower lobe consolidation, empyema, and rib periostitis.
Observation:
- This report details a rare case of endobronchial actinomycosis in a pediatric patient.
- Diagnosis was established through endobronchial biopsy and bronchoalveolar lavage (BAL).
Findings:
- Endobronchial actinomycosis presents a diagnostic challenge in the pediatric population.
- Bronchoscopy, while diagnostic, carries risks of severe bleeding and airway obstruction in such cases.
Implications:
- Early recognition and diagnosis of endobronchial actinomycosis are crucial in pediatric cases.
- Awareness of potential complications during diagnostic procedures like bronchoscopy is vital for patient safety.
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