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Actinomycosis Associated With a Nasal Rhinolith
Maryam Qader1, Shooq Abdulla1, Zainab Harb2
1Otolaryngology - Head and Neck Surgery, Salmaniya Medical Complex, Manama, BHR.
Abstract:
Rhinolithiasis is a rare entity characterised by the formation of calcified masses within the nasal cavity, resulting in chronic unilateral symptoms. We report a case of a patient presenting with a two-year history of unilateral epistaxis and foul nasal discharge. Clinical examination and computed tomography revealed a calcified mass in the right nasal cavity, which was endoscopically removed. Histopathological examination of the mass revealed Actinomyces infection. The patient was successfully managed with a three-month course of oral amoxicillin. This case highlights the importance of histopathological evaluation for rhinoliths, as they can act as an anaerobic site for opportunistic infections such as actinomycosis.
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