[Actinomycosis in otorhinolaryngology. Apropos of a case with localization in the nasal cavity].
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.
Chobaut
J C
JC
Service d'ORL-Audiophonologie, Hôpital Jean Minjoz, Besançon.
Maniere
C
C
Badet
J M
JM
Spicarolen
T
T
Kantelip
B
B
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
L'actinomycose en ORL. A propos d'un cas localisé aux fosses nasales.