Author(s)

Md. Abir Tazim Chowdhury^1*, Sohail Ahmed¹, Md. Zulfiqur Haider¹, S. M. A. Zulker Nine¹, Md. Kamrul Hasan¹, Md. Estiak Ullah Sahid¹, Musfaqus Shalehin¹, Md. Abdullah Al-Mahammud Kabir², Niaz Ahmed², Munama Magdum³

¹Department of Cardiothoracic and Vascular Surgery, Evercare Hospital, Dhaka, Bangladesh.
²Department of Cardiothoracic Anesthesia, Evercare Hospital, Dhaka, Bangladesh.
³Department of Community Medicine, Shaheed Monsur Ali Medical College, Dhaka, Bangladesh.

Among chronic pulmonary infections, pulmonary actinomycosis is a rare one, caused by a gram-positive microaerophilic bacterium called Actinomyces. Aside from cervicofacial or abdominopelvic actinomycosis, pulmonary involvement is rare, and sometimes this type of infection results in a misdiagnosis of pulmonary tuberculosis or carcinoma. Clinical presentation of pulmonary actinomycosis could be acute or subacute, with lobar involvement. However, the disease is most commonly diagnosed at the chronic phase, with patients presenting mild fever, weight loss, and occasional hemoptysis. Here, we described the case of a 30-year-old male patient, presented with a history of respiratory complaints for more than three years and was diagnosed clinically and radiologically as a case of a destroyed left lung. Later on, post-operative tissue diagnosis was confirmed—pulmonary actinomycosis.

Pulmonary Actinomycosis, Destroyed Lung, Diagnostic Dilemma

Chowdhury, M. , Ahmed, S. , Haider, M. , Nine, S. , Hasan, M. , Sahid, M. , Shalehin, M. , Kabir, M. , Ahmed, N. and Magdum, M. (2022) Diagnostic Dilemma with a Case of Primary Bronchopulmonary Actinomycosis Causing Unilateral Destroyed Lung: A Case Report and Literature Review. Open Journal of Thoracic Surgery, 12, 1-10. doi: 10.4236/ojts.2022.121001.