Actinomycosis is a rare, indolent and invasive infection caused by
Actinomyces species. Pulmonary actinomycosis is very rarely seen in the
paediatric population. The classic radiological presentation of thoracic
involvement of actinomycosis includes lower lobe consolidation, empyema
and periostitis of the ribs. We report a case of endobronchial pulmonary
actinomycosis in a child diagnosed on endobronchial biopsy and
broncho-alveolar lavage taken during bronchoscopy. Bronchoscopy can be
dangerous when performed on these cases, as there is a risk of severe
bleeding and large airway obstruction, as was the case with this
patient.