DOI: 10.36347/sjams.2013.v01i02.013

Pages: 86-89

Abstract: 54 year old male chronic alcoholic, diabetic patient presented with massive hemoptysis. He had cough with sputum and fever for the past one week period. Examination showed marfanoid habitus and digital clubbing. Respiratory system showed asthenic chest with findings of right lower lobe bronchiectasis. No hepatic flap was there. Chest X ray showed right lower lobe bronchiectasis with bronchopneumonia but no rib erosion or osteomyelitis were there. HRCT Thorax revealed right lower lobe bronchiectasis without rib lesions or pleural effusion. Due to massive hemoptysis and localised disease patient undergone right lower lobectomy. Lobectomy specimen on histopathology revealed actinomycosis with sulphur granules and bronchiectasis. Postoperatively patient received intravenous penicillin against complications in lung actinomycosis including bronchopleural fistula and relapse.