A Case of Rhinolith Caused by Actinomycosis

DOI Web Site 2 Citations 15 References Open Access
  • Kurakawa Suzuyo
    Department of Otolaryngology-Head and Neck Surgery Kobe University, Graduate School of Medicine
  • Inoue Hiroyuki
    Department of Otolaryngology-Head and Neck Surgery Kobe University, Graduate School of Medicine
  • Ishida Haruhiko
    Department of Otolaryngology-Head and Neck Surgery Kobe University, Graduate School of Medicine
  • Nibu Ken-ichi
    Department of Otolaryngology-Head and Neck Surgery Kobe University, Graduate School of Medicine

Bibliographic Information

Other Title
  • 鼻腔放線菌による鼻石の一例

Search this article

Description

Rhinolith caused by actinomycosis is rare; to the best of our knowledge, only two cases have been reported in Japanese and English medical literature. A 19-year-old woman had been suffering from a left nasal obstruction for several years. A large brown mass was found in the left nasal cavity. Actinomycosis was suspected based on a histopathological examination of a biopsy specimen. Computed tomography showed a calcified lesion in the left nasal cavity and mucosal hypertrophy in the left maxillary sinus. Based on these findings, the mass lesion was diagnosed as a rhinolith associated with actinomycosis that had caused left maxillary sinusitis by obstructing the ostium. The lesion, which weighed 3.8 grams, was removed via an endscopic endonasal approach. Histopathological examination revealed an actinomycotic body. Chemical analysis revealed a composition of phosphates, protein, and carbonate. Postoperatively, the patient was treated with clarithromycin for 3 months, and the left maxillary sinusitis improved.

Journal

Citations (2)*help

See more

References(15)*help

See more

Related Projects

See more

Keywords

Details 詳細情報について

Report a problem

Back to top