A Case of Actinomycosis in Nasal Cavity

ABSTRACT

Actinomycosis is a rare form of disease which is caused by Actinomyces such as A. israelii and A. bovis. These anaerobic gram-positive organisms may take the form of an acute or a subacute disease progression. Only a few cases of actinomycosis in the nasal cavity have been reported previously. Actinomycosis is difficult to diagnose because of the fastidious nature of the organism in culture and a general lack of familiarity with the disease. In this paper, we report a case of actinomycosis presenting nasal cavity mass without prior mucosal trauma. Our patient had endonasal endoscopic removal of infected tissue and was treated with 2 days of intravenous antibiotics and 3 weeks of oral antibiotics therapy without any evidence of recurrence.