A Case of Actinomycosis in Nasal Cavity

Choi, Hyun Jin; Lee, Jong Kyu; Kwon, Hee Jun; Lee, Kyung Chul

Case Report

Journal of Rhinology 2007;14(2):128-130.
Published online November 30, 2007.

A Case of Actinomycosis in Nasal Cavity

Hyun Jin Choi, Jong Kyu Lee, Hee Jun Kwon, Kyung Chul Lee

Department of Otolaryngology, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, Korea. fess0101@hanmail.net

비강에 발생한 방선균증 1예

최현진, 이종규, 권희준, 이경철

성균관대학교 의과대학 강북삼성병원 이비인후과학교실

Abstract

Actinomycosis is a rare form of disease which is caused by Actinomyces such as A. israelii and A. bovis. These anaerobic gram-positive organisms may take the form of an acute or a subacute disease progression. Only a few cases of actinomycosis in the nasal cavity have been reported previously. Actinomycosis is difficult to diagnose because of the fastidious nature of the organism in culture and a general lack of familiarity with the disease. In this paper, we report a case of actinomycosis presenting nasal cavity mass without prior mucosal trauma. Our patient had endonasal endoscopic removal of infected tissue and was treated with 2 days of intravenous antibiotics and 3 weeks of oral antibiotics therapy without any evidence of recurrence.

Key Words: Actinomycosis;Nasal cavity