Actinomycosis of the nasopharynx: a complication of nasal surgery

Osborne, Jonathan; Blair, Robin; Christmas, H. E.; McKenzie, Harold C.

doi:10.1017/s0022215100105961

Cited by 20 publications

(11 citation statements)

References 6 publications

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“…Only a few cases of actinomycosis of the nasopharynx are reported in the literature, most resulting from mucosal trauma [6]. In our cases, no traumatic event could be elucidated.…”

Section: Discussionmentioning

confidence: 72%

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Nasopharyngeal Actinomycosis

Ouertatani

Jeblaoui²,

Kharrat³

et al. 2011

Case Reports in Otolaryngology

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Nasopharyngeal actinomycosis is a rarely encountered bacterial infection which usually occurs after nasal trauma or surgery. In some clinical cases, nasopharyngeal actinomycosis has appeared in patients without prior trauma, making diagnosis difficult. Here we present three such cases successfully treated with appropriate dosages of penicillin. One 16-year-old boy with no previous medical antecedents showed an important thickening of the posterior wall of the nasopharynx. A similar nasopharyngeal thickening was found in a 42-year-old woman exhibiting poor dental hygiene. In another 42-year-old woman, nasopharyngeal inflammation was accompanied by multiple right lymphoadenopathies. Like the first two patients, the woman had no prior trauma but did exhibit poor dental hygiene and teeth rottenness. In all three patients, actinomycosis diagnosis was confirmed by anaerobic microbial culturing of the biopsy specimen. Although diagnosis is delayed in patients with no prior trauma, treatment with antibiotics has greatly improved the prognosis for all forms of actinomycosis, and neither death nor deformity is common.

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“…Only a few cases of actinomycosis of the nasopharynx are reported in the literature, most resulting from mucosal trauma [6]. In our cases, no traumatic event could be elucidated.…”

Section: Discussionmentioning

confidence: 72%

“…As these microorganisms are not virulent, they require a break in the integrity of the mucous membranes and the presence of devitalized tissue to invade deeper body structures and cause human illness [6]. …”

Section: Discussionmentioning

confidence: 99%

Nasopharyngeal Actinomycosis

Ouertatani

Jeblaoui²,

Kharrat³

et al. 2011

Case Reports in Otolaryngology

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“…The literature shows different sites of infection including the tongue [7], nose [8], paranasal sinuses [8], palate [8], nasopharynx [9], larynx [10], trachea [11], and ear [12], but occurrence of actinomycosis primarily in the telangiectasic-type vocal nodule without involvement of the pharynx and larynx, as in this patient, is a rare form of actinomycosis. The actinomycetes usually spread without regard to lymphatic or hematogenous routes, but rather by direct extension into adjacent tissues [13].…”

Section: Discussionmentioning

confidence: 99%

Actinomycosis of the larynx

Sarı

Yazıcı

Bağlam

et al. 2007

Acta Oto-Laryngologica

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Actinomycosis is a rare chronic granulomatous disease that involves the upper airway and gastrointestinal tract. Approximately 40-55% of actinomycosis comprises the cervicofacial form. It presents a challenging clinical diagnostic dilemma because of variable presentations in the head and neck. Herein, we report a rare case of actinomycosis presenting as a vocal cord nodule in a healthy 21-year-old man who was not immunocompromised and had no other known medical disease.

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“…Two published cases have reported known causative traumas. One case involved trauma to the nasopharynx caused by nasal suctioning during a septoplasty 4 . Another case was reported following a dental filling 5 .…”

Section: Discussionmentioning

confidence: 99%

Nasopharyngeal Actinomycosis: A Rare Cause of Nasal Airway Obstruction

Daamen

Johnson

2004

The Laryngoscope

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Nasopharyngeal actinomycosis is a rare clinical disease. It can occur after nasal trauma or surgical manipulation. It is also reported to occur without prior trauma, making diagnosis difficult. We report a case of nasopharyngeal actinomycosis that presented as nasal airway obstruction causing snoring and mimicking nasopharyngeal carcinoma. To our knowledge, only a few other cases of nasopharyngeal actinomycosis have previously been published, most coming after mucosal trauma. Diagnosis is made by observing the bacteria or its associated sulfur granules in the biopsy specimen. This anaerobic organism is difficult to culture. Treatment consists of wide debridement and prolonged antibiotic therapy, with good prognosis.

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Actinomycosis of the nasopharynx: a complication of nasal surgery

Abstract: This case demonstrates actinomycosis in a previously unreported site, and outlines some of the difficulties encountered in diagnosing and treating this rare but unimportant condition.

Cited by 20 publications

References 6 publications

Nasopharyngeal Actinomycosis

Nasopharyngeal Actinomycosis

Actinomycosis of the larynx

Nasopharyngeal Actinomycosis: A Rare Cause of Nasal Airway Obstruction

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