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:nbn:de:0183-10kit1232

Veröffentlicht: 2. Juni 2010

© 2010 Bardanis et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



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.


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