Bhandarkar Ajay M, Kudva Ranjini, Damry Keshwar, Radhakrishnan Balaji
Department of Otolaryngology-Head and Neck Surgery, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Department of Pathology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
BMJ Case Rep. 2016 Jun 28;2016:bcr2016215490. doi: 10.1136/bcr-2016-215490.
A 63-year-old man presented to the outpatient department of our tertiary care hospital, with unilateral left nasal obstruction, foul smelling nasal discharge and occasional mild epistaxis. On examination, a hard greyish black mass was noted in the anteroinferior portion of the inferior turbinate, with extension posteriorly into the inferior meatus with surrounding unhealthy granulation tissue. Provisional diagnosis of rhinolith was surprisingly reversed by histopathology, which suggested the presence of an Aspergillus fungus ball with Actinomyces colonisation.
一名63岁男性到我们三级护理医院的门诊部就诊，伴有左侧单侧鼻塞、恶臭的鼻分泌物和偶尔的轻度鼻出血。检查时，在下鼻甲的前下部发现一个坚硬的灰黑色肿块，向后延伸至下鼻道，周围有不健康的肉芽组织。鼻石的初步诊断令人惊讶地被组织病理学推翻，组织病理学提示存在曲霉菌球并伴有放线菌定植。
