一个罕见的鼻腔动因性菌根症病例
Naoki Ashida1, Naoki Umeda1, Takeshi Tsuda1
1Department of Otorhinolaryngology-Head and Neck Surgery, Osaka University Graduate School of Medicine, Osaka, JPN.
Cureus
|February 6, 2026
概括
细菌性感染 - - 动因菌,可以模仿鼻癌. 早期诊断和微创内镜手术导致患者完全康复,强调在单侧大鼻病中考虑这种感染的重要性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
- 病理学 病理学 病理学
背景情况:
- 由*Actinomyces*物种引起的菌病是一种经常在口腔中发现的细菌感染.
- 虽然子宫面性动因菌症是常见的,但鼻干涉可以在成像上呈现为瘤病变.
- 单侧大鼻病可能被误认为恶性瘤,需要广泛的差异诊断.
研究的目的:
- 报告一个模仿瘤病变的鼻腔动因菌病例.
- 强调内镜腔外科手术 (ESS) 和内镜修饰的中部大切除术 (EMMM) 的诊断和治疗作用.
- 强调在患有单侧大鼻病的患者中考虑*Actinomyces*感染的重要性.
主要方法:
- 一名79岁的妇女有6个月的性鼻水和阻塞病史,接受了CT和MRI.
- 图像检查显示左大鼻腔有扩张性软组织病变,骨损坏.
- 进行了内镜外科手术 (ESS) 结合内镜修饰的中部大切除术 (EMMM),随后进行了他的病理学检查.
主要成果:
- 图像检测结果表明发生了口腔性鼻炎.
- 手术除菌揭示了颗粒组织和性物质,他的病理学证实了*Actinomyces*殖民地.
- 患者接受了短期的术后抗生素预防治疗,并在六个月后完全康复,没有复发.
结论:
- 鼻性动因母结症可以呈现出模仿瘤病变的成像发现.
- 像EMMM这样的先进内镜技术允许进行最小侵入性和完整的脱bridement.
- 考虑到*Actinomyces*感染对于单侧大鼻病患者至关重要,可能减少长期抗生素治疗的需要.
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