Chobaut J C, Maniere C, Badet J M, Spicarolen T, Kantelip B
Service d'ORL-Audiophonologie, Hôpital Jean Minjoz, Besançon.
Ann Otolaryngol Chir Cervicofac. 1994;111(5):292-4.
The authors report an atypical case of actionomycosis implanted in the nasal cavity and occurring twenty years after septum surgery. Treatment by penicillin and surgical excision gave a good result. Cervicofacial actinomycosis is caused by actinomyctes which usually lives as a saprophyte in the oral cavity. A trauma is often found in the previous history. Diagnosis with tumors and abscess may be difficult. The histopathological examination shows typical aspects of the granuloma (gram+ and Grocott+) and the bacteriological isolation of the germ is difficult to obtain. Penicillin associated with surgical excision is the best therapy, but high doses must be used for a long time. The literature is reviewed without finding such a case.
作者报告了一例鼻腔放线菌病的非典型病例，该病例发生在鼻中隔手术后二十年。青霉素治疗和手术切除取得了良好效果。颈面部放线菌病由放线菌引起，放线菌通常作为腐生菌存在于口腔中。既往病史中常发现有外伤。与肿瘤和脓肿的诊断可能存在困难。组织病理学检查显示肉芽肿的典型特征（革兰氏阳性和格罗特染色阳性），且难以获得病原菌的细菌学分离结果。青霉素联合手术切除是最佳治疗方法，但必须长时间使用高剂量。对文献进行了综述，未发现此类病例。
