J Rhinol.  2020 May;27(1):58-62. 10.18787/jr.2020.00308.

A Case of Chronic Invasive Actinomycosis in the Nasal Cavity

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Gachon University, Gil Medical Center, Incheon, Korea

Abstract

A 57-year-old male patient with nasal congestion and nasal congestion, which occurred 1 month prior to the hospital visited. PNS CT and MRI was performed and revealed right orbital cellulitis, sinusitis and brain abcess. Surgical drainage was determined by rhinology, ophthalmology and neurosurgery. The right sphenoid sinus was identified as an open mucosal mucosa, and blackish mucosa was found on the right sphenoid sinus. Eucleation was performed. Infected orbital tissue removal and orbital abscess drainage were performed. Neurosurgery performed dura incision, drainage and removal of a large amount of abscess pattern, and duroplasty with artificial dura. Actinomyces odontolyti was identified by pus culture, and postoperative antibiotic treatment and dressing were performed, but infection aggravation persisted, resulting in deterioration of general condition, multiple organ damage, and cerebral infarction.

Keyword

Actinomycosis; Invasive actinomycosis; Sinusitis; Transnasal endoscopic surgery; 방선균증; 침습성방선균증; 부비동염; 내시경하 부비동수술
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