Damante J H, Sant'Ana E, Soares C T, Moreira C R
Al. Dr. Octávio Pinheiro Brisolla, 9-75--Faculdade de Odontologia de Bauru--Departamento de Estomatologia, Vila Universitária--Bauru--SP, Cep: 17012-901, Brazil.
Dentomaxillofac Radiol. 2006 May;35(3):213-6. doi: 10.1259/dmfr/52799578.
Actinomycosis of the paranasal sinuses is a rare occurrence and its clinical presentation does not suggest a specific diagnosis. Therefore, actinomycosis should be included in the differential diagnosis of neoplasms and granulomatous lesions of the head and neck region. However, the differentiation from a malignant neoplasm is not easy because the radiological findings are frequently similar and positive cultures are difficult to obtain. This report highlights the clinical progress of paranasal actinomycosis associated with some computed tomography findings that can be extremely helpful in the correct diagnosis. The characteristics of the disease are described and the relevant literature is discussed.
鼻窦放线菌病较为罕见，其临床表现并无特异性诊断提示。因此，放线菌病应纳入头颈部肿瘤和肉芽肿性病变的鉴别诊断。然而，与恶性肿瘤的鉴别并不容易，因为影像学表现常常相似，且难以获得阳性培养结果。本报告重点介绍了鼻窦放线菌病的临床进展以及一些计算机断层扫描结果，这些结果对正确诊断极有帮助。文中描述了该病的特点并讨论了相关文献。
