gms | German Medical Science

10. Kongress für Infektionskrankheiten und Tropenmedizin (KIT 2010)

Deutsche Gesellschaft für Infektiologie,
Deutsche AIDS-Gesellschaft,
Deutsche Gesellschaft für Tropenmedizin und Internationale Gesundheit,
Paul-Ehrlich-Gesellschaft für Chemotherapie

23.06. - 26.06.2010, Köln

Nasal actinomycosis or nasal foreign body?

Nasale Actinomykose oder nasaler Fremdkörper?

Meeting Abstract

  • I. Bardanis - General Hospital of Ikaria, Greece
  • D. Batzakakis - General Hospital of Larisa, Greece
  • D. Vitsa - General Hospital of Larisa, Greece
  • I. Tsitiridis - General Hospital of Larisa, Greece
  • P. Karagounis - General Hospital of Larisa, Greece

10. Kongress für Infektionskrankheiten und Tropenmedizin (KIT 2010). Köln, 23.-26.06.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. DocP67

DOI: 10.3205/10kit123, URN: urn:nbn:de:0183-10kit1232

Published: June 2, 2010

© 2010 Bardanis et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Objective: This paper aims at presenting a case of nasal actinomycosis causing clinical symptoms and signs similar to those of a nasal foreign body.

Case report: It is the case of a 34 year old female complaining of putrid nasal breath and unilateral fetid purulent nasal discharge. During rigid nasal endoscopy a dark gray mass was observed. It was stuck to the middle and inferior nasal turbinate. Computed tomography scan findings posed the question of a nasal foreign body. We proceeded with surgical removal of the mass. The diagnosis of actinomycosis was confirmed histopathologically, as well as microbiologically.

Discussion: Whereas in the preantibiotic era actinomycosis was rather frequent, nowadays it is a medical rarity [1], [2], Actinomyces israelii being the most common etiologic agent. In the past Actinomyces israelii was believed to be fungus. Nowadays, it is described as a gram positive, anaerobic or microaerophilic rod forming branching filaments. Nasal actinomycosis is usually presented in the form of some kind of purulent abscess of the nose and antrum [3] .

Conclusion: We suggest that every clinician confronting with unilateral nasal symptoms and / or signs should have this clinical entity in mind, since it has justifiably been characterized as the “masquerader” [1], [4], of head and neck.


References

1.
Daamen N, Johnson J. Nasopharyngeal actinomycosis: a rare cause of nasal airway obstruction. Laryngoscop. 2004;114:1403-5.
2.
Russo T. Actinomycosis. In: Fauci A, Braunwald E, Isselbacher K, Wilson J, Martin J, Kasper D, Hauser L, Longo D, Harrison TR, editor. Harrison's principles of internal medicine. 15th edition. USA: The McGraw-Hill Companies; 2001. p. 1008-11.
3.
Randall D. The nose and paranasal sinuses. In: Lee KJ, editor. Essential Otolaryngology: head and neck surgery. 8th edition. USA: The McGraw-Hill Companies; 2003. p. 682-723.
4.
Shrikala B, Shalini S, Godwin W, Vidyalakshmi K. An unusual case of actinomycosis. ENT. 2002;8:44-5.