Department of Otorhinolaryngology, Hospital Pedro Hispano, Matosinhos, Portugal
Unit of Anatomy, Universidade de Medicina da Universidade do Porto, Porto, Portugal.
BMJ Case Rep. 2024 Sep 12;17(9):e258913. doi: 10.1136/bcr-2023-258913.
The authors present a case of maxillary sinus actinomycosis in a young adult woman.This is a rare condition whose unspecific clinical presentation makes its diagnosis challenging. In this case, the diagnosis was given by the identification of colonies in samples of infected tissue.Treatment consisted of a combined medical and surgical approach. Endoscopic sinus surgery was performed to remove diseased mucosa and to aerate the involved sinuses, followed by long-term antibiotic therapy. No recurrence of the disease was observed during follow-up.
作者报告了一例年轻成年女性上颌窦放线菌病。这是一种罕见的疾病，其非特异性临床表现使其诊断具有挑战性。在本例中，通过鉴定感染组织样本中的菌落来做出诊断。治疗包括联合药物和手术方法。进行了内镜鼻窦手术以切除病变的黏膜并使受累的鼻窦通气，随后进行长期抗生素治疗。在随访期间未观察到疾病复发。
