直近一年間の累計
アクセス数 : ?
ダウンロード数 : ?
ID 116022
タイトル別表記
Actinomycosis sinusitis
著者
Ohbuchi, Toyoaki University of Occupational and Environmental Health
Shimajiri, Shohei University of Occupational and Environmental Health
Kawamura, Yuki University of Occupational and Environmental Health
Koga, Yuma University of Occupational and Environmental Health
Nakayama, Toshiyuki University of Occupational and Environmental Health
Suzuki, Hideaki University of Occupational and Environmental Health
キーワード
actinomyces
actinomycotic sinusitis
computed tomography
fungal sinusitis
histopathological examination
資料タイプ
学術雑誌論文
抄録
Actinomycosis is an infection caused by anaerobic bacteria, primarily from the genus Actinomyces, which normally colonize the several regions including the mouth. Disruption of mucosa may lead to infection of virtually any site, but reports of involvement of the sinuses are rare. We report a case of an actinomycosis infection in the unilateral maxillary sinus. A 47-year-old female visited our hospital with a complaint of mild pain of left buccal region. Computed tomography (CT) revealed that the left maxillary and anterior ethmoidal sinus cavities were opacified along with a calcified fragment located close to the natural ostium. Thus, we provisionally diagnosed as a fungal sinusitis. She underwent trans-nasal endoscopic sinus surgery. The sinuses were opened and the caseous material was removed. The histopathological examination suggested an actinomycosis, but not fungal, infection. The patient’s postoperative course was uneventful. No evidence of recurrence has been seen over the 30 months of the postoperative follow-up period. In case of the aggressive actinomycotic sinusitis, extension into the adjacent organs could be occurred. We should be aware that sinusitis of actinomycosis infection could progress in patients with risk factors such as diabetes and immunodeficiency.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
出版者
Tokushima University Faculty of Medicine
68
1-2
開始ページ
202
終了ページ
204
並び順
202
発行日
2021-02
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版