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上颌窦内放线菌病与真菌球并存:一例报告

Coexistent Actinomycosis and Fungus Ball in the Maxillary Sinus: A Case Report.

作者信息

Kim Tae Hoon, Lim Eun Jung, Kim SungHee, Kim Aeri

机构信息

Department of Otorhinolaryngology-Head & Neck Surgery, Daegu Fatima Hospital, Daegu, Republic of Korea.

Department of Pathology, Daegu Fatima Hospital, Daegu, Republic of Korea.

出版信息

J Rhinol. 2022 Nov;29(3):163-166. doi: 10.18787/jr.2022.00406. Epub 2022 Oct 4.

DOI:10.18787/jr.2022.00406
PMID:39664304
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11524377/
Abstract

Actinomycosis is rarely accompanied by fungus balls. It is difficult to distinguish between actinomycosis and a fungus ball due to their similar clinical and computed tomography scan results. Thus, a meticulous histopathological examination is required for definite diagnosis. We report a case of actinomycosis accompanied by a fungus ball, found incidentally in a patient without rhinologic symptoms. The patient was successfully treated with endoscopic sinus surgery, followed by short-term antibiotic therapy. We suggest that shortterm antibiotic therapy may be more appropriate than long-term antibiotic therapy based on our case study as well as several other studies.

摘要

放线菌病很少伴有真菌球。由于放线菌病和真菌球的临床及计算机断层扫描结果相似,因此难以区分。因此,明确诊断需要细致的组织病理学检查。我们报告一例伴有真菌球的放线菌病病例,该病例在一名无鼻科症状的患者中偶然发现。该患者通过鼻内镜鼻窦手术成功治疗,随后进行了短期抗生素治疗。基于我们的病例研究以及其他一些研究,我们认为短期抗生素治疗可能比长期抗生素治疗更合适。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/17d334b7dd65/jr-2022-00406f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/e1ef3d063760/jr-2022-00406f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/4a7036f96b06/jr-2022-00406f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/ab2472fb6e2d/jr-2022-00406f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/66889af43b2d/jr-2022-00406f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/17d334b7dd65/jr-2022-00406f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/e1ef3d063760/jr-2022-00406f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/4a7036f96b06/jr-2022-00406f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/ab2472fb6e2d/jr-2022-00406f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/66889af43b2d/jr-2022-00406f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9b7/11524377/17d334b7dd65/jr-2022-00406f5.jpg

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Coexistent Actinomycosis and Fungus Ball in the Maxillary Sinus: A Case Report.上颌窦内放线菌病与真菌球并存:一例报告
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本文引用的文献

1
Actinomycosis: An Unusual Cause of Maxillary Sinusitis.放线菌病:上颌窦炎的一种罕见病因。
Ear Nose Throat J. 2022 Aug;101(7):433-434. doi: 10.1177/0145561320965207. Epub 2020 Oct 13.
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Fungus ball in the nasal cavity mimicking a rhinolith.鼻腔内的真菌球酷似鼻石。
BMJ Case Rep. 2016 Jun 28;2016:bcr2016215490. doi: 10.1136/bcr-2016-215490.
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Sphenoid sinus fungus ball by filaments of actinomycetes and Aspergillus fumigatus.蝶窦放线菌和烟曲霉丝状真菌球。
Mycopathologia. 2015 Jun;179(5-6):471-3. doi: 10.1007/s11046-015-9867-4. Epub 2015 Feb 5.
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Simultaneous actinomycosis with aspergillosis in maxillary sinus.上颌窦同时发生放线菌病和曲霉病。
Br J Oral Maxillofac Surg. 2013 Jun;51(4):e51-3. doi: 10.1016/j.bjoms.2012.03.003. Epub 2012 Mar 24.
5
Actinomycosis of the paranasal sinus.鼻窦放线菌病
Otolaryngol Head Neck Surg. 2008 Sep;139(3):460-2. doi: 10.1016/j.otohns.2008.06.001.
6
Fungus balls of the paranasal sinuses: a review.鼻窦真菌球:综述
Eur Arch Otorhinolaryngol. 2007 May;264(5):461-70. doi: 10.1007/s00405-007-0281-5. Epub 2007 Mar 15.
7
Paranasal sinus fungus ball: epidemiology, clinical features and diagnosis. A retrospective analysis of 173 cases from a single medical center in France, 1989-2002.鼻窦真菌球:流行病学、临床特征与诊断。对法国一家医疗中心1989年至2002年期间173例病例的回顾性分析。
Med Mycol. 2006 Feb;44(1):61-7. doi: 10.1080/13693780500235728.
8
Short-term treatment of actinomycosis: two cases and a review.放线菌病的短期治疗:两例病例及文献综述
Clin Infect Dis. 2004 Feb 1;38(3):444-7. doi: 10.1086/381099. Epub 2004 Jan 13.