A 75-Year-Old Female with Hemoptysis and Recurrent Respiratory Infections

License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. This paper describes the case of a 75-year-old female who presented with significant hemoptysis over a 7–10 day period. She had a history of a left lower lobectomy 10 years prior for a “lung abscess. ” She subsequently had multiple episodes of cough, fevers, and possible pneumonia treated with multiple courses of Amoxicillin and Amoxicillin/Clavulanate. Review of her chest CT upon presentation to the hospital showed a large necrotic lingular infiltrate, which had been progressively increasing in size over at least one year. Bronchoscopy showed a yellowish, soft round body in the superior lingular subsegment. Endobronchial and transbronchial biopsies showed actinomyces species. This is a very interesting case of indolent actinomycosis which we suspect had a very slow progressive course secondary to the multiple courses of antibiotics that the patient was treated with. 1. Case Report A 75-year-old female was admitted for further workup of hemoptysis. The hemoptysis started 7–10 days prior to admission and was bright red and significant in volume (often greater than half a cup). The amount increased the day prior to admission. She reported subjective fevers asso