Cohn Jason E, Lentner Mark, Li Hui, Nagorsky Matthew
Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA; Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, PA, USA.
Department of Pathology and Laboratory Medicine, Drexel University College of Medicine, Philadelphia, PA, USA.
Case Rep Otolaryngol. 2017;2017:7568390. doi: 10.1155/2017/7568390. Epub 2017 Mar 2.
Actinomycosis is a bacterial infection due to , a gram-positive, anaerobic organism that normally affects the cervicofacial region. However, facial injury or trauma (i.e., dental procedures) can allow this bacteria to inhabit other regions. There have been rare reports of actinomycosis of the paranasal sinuses. We present a case of a 50-year-old female who originally presented with a suspected oroantral fistula who subsequently was found to have actinomycosis involving her right maxillary sinus. Additionally, the dental extraction site revealed no connection with the maxillary sinus. We discuss the diagnostic approach and management of this patient as it relates to the limited existing literature.
放线菌病是由一种革兰氏阳性厌氧菌引起的细菌感染，该菌通常影响头面部区域。然而，面部损伤或创伤（如牙科手术）可使这种细菌感染其他部位。鼻窦放线菌病的报道较为罕见。我们报告一例50岁女性病例，该患者最初表现为疑似口腔上颌窦瘘，随后被发现患有累及右上颌窦的放线菌病。此外，拔牙部位与上颌窦无连通。我们结合现有的有限文献，讨论该患者的诊断方法和治疗。
