단기 국소 항생제 치료를 통해 호전된 비강 내 방선균증: 증례 보고 및 문헌 고찰

Abstract

Actinomycosis is a rare acute-to-chronic bacterial infection caused by Actinomyces. A 7-yearoldhealthy girl presented with left-sided nasal obstruction and purulent discharge. She had nospecial medical or trauma history, and the symptoms developed gradually after severe vomitingone month prior to the visit. Nasal endoscopy revealed white-black-colored cheesy materialthat appeared as a foreign body or fungal material in the left nasal cavity. The lesion wascompletely removed endoscopically under local anesthesia. The patient was prescribed only atopical antibiotic ointment without any additional systemic antibiotics. She was diagnosedwith actinomycosis based on histopathological examination after a few days. There was no recurrenceat six months post-procedure. The common treatment for actinomycosis is surgicalremoval and a systemic antibiotic therapy. However, this case was successful with completesurgical removal and only a short-term topical antibiotic ointment therapy. Therefore, thetreatment for actinomycosis should differ based on clinical characteristics and the patient’scondition.