Batzakakis Dimitrios, Karkos Petros D, Papouliakos Sotirios, Leong Samuel C, Bardanis Ioannis
Department of Otolaryngology, General Hospital of Larissa, Greece.
Ear Nose Throat J. 2013 Jul;92(7):E14-6. doi: 10.1177/014556131309200715.
Nasal actinomycosis is a rare disease. We present a case of nasal actinomycosis causing symptoms similar to those of a nasal foreign body. A 34-year-old woman presented with a long history of halitosis and unilateral offensive, purulent rhinorrhea. Rigid nasendoscopy showed a hard, dark gray mass between the middle and inferior turbinates. Computed tomography findings were typical of a nasal foreign body. Endoscopic removal of the mass was performed, and histopathology established a diagnosis of actinomycosis. We suggest that every clinician confronted with unilateral nasal symptoms and/or signs should have this clinical entity in mind, since it has justifiably been characterized as the head and neck "mimic."
鼻放线菌病是一种罕见疾病。我们报告一例鼻放线菌病，其症状与鼻异物相似。一名34岁女性，有长期口臭及单侧脓性、有异味鼻漏病史。硬性鼻内镜检查显示中鼻甲和下鼻甲之间有一硬的深灰色肿物。计算机断层扫描结果为典型的鼻异物表现。通过内镜切除该肿物，组织病理学确诊为放线菌病。我们建议，每位面对单侧鼻部症状和/或体征的临床医生都应考虑到这种临床情况，因为它被恰当地称为头颈部的“模仿者”。
