Two Cases of Actinomycosis with Aspergillosis in Unilateral Paranasal Sinuses

Min, Hye Kyu; Kwon, Oh Eun; Min, Jin Young; Kim, Sung Wan

doi:2019.26.2.122

J Rhinol > Volume 26(2); 2019

Case Report

Journal of Rhinology 2019;26(2):122-126.
Published online November 30, 2019.
DOI: https://doi.org/10.18787/jr.2019.26.2.122

Two Cases of Actinomycosis with Aspergillosis in Unilateral Paranasal Sinuses

Hye Kyu Min, Oh Eun Kwon, Jin Young Min, Sung Wan Kim

¹Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University, Seoul, Korea. drkimsw@hanmail.net
²Department of Otorhinolaryngology-Head and Neck Surgery, Graduate School, Kyung Hee University, Seoul, Korea.

편측 부비동에서 발생한 국균증에 동반된 방선균증 2례

민혜규, 권오은, 민진영, 김성완

경희대학교 의과대학 이비인후과학교실,¹ 경희대학교 일반대학원 의학과 이비인후과학교실²

Abstract

Actinomycosis of paranasal sinus is a very rare disease that is caused by infection of Actinomyces species that were present in oral or nasal flora due to trauma or dental treatment. Actinomycosis shows a local calcified lesion associated with soft tissue density on computed tomography, which is similar to fungal sinusitis. Actinomycosis associated with fungal ball due to Aspergillus affecting sinus ventilation has been rarely reported. We experienced two cases of actinomycosis associated with fungal ball and successfully treated with endoscopic sinus surgery and oral antibiotics for 3 months without recurrence.

Key Words: Actinomycosis;Aspergillosis;Fungal ball;Paranasal sinus