title: [Actinomycosis in otorhinolaryngology. Apropos of a case with localization in the nasal cavity].
abstract: The authors report an atypical case of actionomycosis implanted in the nasal cavity and occurring twenty years after septum surgery. Treatment by penicillin and surgical excision gave a good result. Cervicofacial actinomycosis is caused by actinomyctes which usually lives as a saprophyte in the oral cavity. A trauma is often found in the previous history. Diagnosis with tumors and abscess may be difficult. The histopathological examination shows typical aspects of the granuloma (gram+ and Grocott+) and the bacteriological isolation of the germ is difficult to obtain. Penicillin associated with surgical excision is the best therapy, but high doses must be used for a long time. The literature is reviewed without finding such a case.
authors.affiliation: Service d'ORL-Audiophonologie, Hôpital Jean Minjoz, Besançon.
authors.forename: J C
authors.initials: JC
authors.lastname: Chobaut
authors.forename: C
authors.initials: C
authors.lastname: Maniere
authors.forename: J M
authors.initials: JM
authors.lastname: Badet
authors.forename: T
authors.initials: T
authors.lastname: Spicarolen
authors.forename: B
authors.initials: B
authors.lastname: Kantelip
mesh_terms: D000197:Actinomycosis, Cervicofacial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D009296:Nasal Cavity / Q000382:microbiology; D009300:Nasal Septum / Q000601:surgery; D009668:Nose Diseases / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy; D010038:Otorhinolaryngologic Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D011183:Postoperative Complications
vernacular_title: L'actinomycose en ORL. A propos d'un cas localisé aux fosses nasales.