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Biopsies showed many bacterial colonies consistent with actinomyces and a diagnosis of endobronchial actinomycosis was made. Owing to multiple antibiotic allergies and patient refusal to have intravenous antibiotics, she was started on a course of doxycycline 200\u2005mg once daily. There was near complete improvement in symptoms and radiographic appearances by the end of 4\u2005months. This case highlights the importance of confirmatory diagnosis in the elderly as curable conditions are otherwise missed.<\/jats:p>","DOI":"10.1136\/bcr-2015-212754","type":"journal-article","created":{"date-parts":[[2015,12,17]],"date-time":"2015-12-17T10:02:07Z","timestamp":1450346527000},"page":"bcr2015212754","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Endobronchial actinomycosis: successful treatment with oral antibiotics"],"prefix":"10.1136","volume":"2015","author":[{"given":"Nicole","family":"Skehan","sequence":"first","affiliation":[{"name":"Department of Respiratory Medicine, Kettering General Hospital, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Naeem","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Kettering General Hospital, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raja Vongala","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Kettering General Hospital, Kettering, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,12,17]]},"reference":[{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.104.2.366"},{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.2","first-page":"2645","article-title":"Agents of actinomycosis","volume-title":"Mandell, Douglas, and Bennett's principles and practice of infectious diseases","volume":"255","author":"Russo","year":"2009"},{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.3","first-page":"183","article-title":"Actinomycosis: etiology, clinical features, diagnosis, treatment, and management","volume":"7","author":"Valour","year":"2014","journal-title":"Infect Drug Resist"},{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.4","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1183\/09031936.94.07061189","article-title":"Endobronchial actinomycosis","volume":"7","author":"Dalhoff","year":"1994","journal-title":"Eur Respir J"},{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.121.6.2069"},{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.6","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2002.17.3.207"},{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1843.2000.00261.x"},{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.8","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.03.00089103"},{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.9","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.49.3475"},{"key":"2025082804402128000_2015.dec17_2.bcr2015212754.10","doi-asserted-by":"publisher","DOI":"10.1086\/381099"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-212754","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:40:28Z","timestamp":1756381228000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-212754"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,17]]},"references-count":10,"alternative-id":["10.1136\/bcr-2015-212754"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-212754","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,17]]}}}