Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral Fistula

Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral Fistula

Actinomycosis is a bacterial infection due to Actinomyces israelii, a gram-positive, anaerobic organism that normally affects the cervicofacial region. However, facial injury or trauma (i.e., dental procedures) can allow this bacteria to inhabit other regions. There have been rare reports of actinom...

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Main Authors: Jason E. Cohn, Mark Lentner, Hui Li, Matthew Nagorsky
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2017/7568390
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spelling doaj-62f27a7c3e614e458f142328b0fb897e2020-11-24T23:18:47ZengHindawi LimitedCase Reports in Otolaryngology2090-67652090-67732017-01-01201710.1155/2017/75683907568390Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral FistulaJason E. Cohn0Mark Lentner1Hui Li2Matthew Nagorsky3Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USADepartment of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USADepartment of Pathology and Laboratory Medicine, Drexel University College of Medicine, Philadelphia, PA, USADepartment of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, PA, USAActinomycosis is a bacterial infection due to Actinomyces israelii, a gram-positive, anaerobic organism that normally affects the cervicofacial region. However, facial injury or trauma (i.e., dental procedures) can allow this bacteria to inhabit other regions. There have been rare reports of actinomycosis of the paranasal sinuses. We present a case of a 50-year-old female who originally presented with a suspected oroantral fistula who subsequently was found to have actinomycosis involving her right maxillary sinus. Additionally, the dental extraction site revealed no connection with the maxillary sinus. We discuss the diagnostic approach and management of this patient as it relates to the limited existing literature.http://dx.doi.org/10.1155/2017/7568390
collection DOAJ
language English
format Article
sources DOAJ
author Jason E. Cohn
Mark Lentner
Hui Li
Matthew Nagorsky
spellingShingle Jason E. Cohn
Mark Lentner
Hui Li
Matthew Nagorsky
Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral Fistula
Case Reports in Otolaryngology
author_facet Jason E. Cohn
Mark Lentner
Hui Li
Matthew Nagorsky
author_sort Jason E. Cohn
title Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral Fistula
title_short Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral Fistula
title_full Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral Fistula
title_fullStr Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral Fistula
title_full_unstemmed Unilateral Maxillary Sinus Actinomycosis with a Closed Oroantral Fistula
title_sort unilateral maxillary sinus actinomycosis with a closed oroantral fistula
publisher Hindawi Limited
series Case Reports in Otolaryngology
issn 2090-6765
2090-6773
publishDate 2017-01-01
description Actinomycosis is a bacterial infection due to Actinomyces israelii, a gram-positive, anaerobic organism that normally affects the cervicofacial region. However, facial injury or trauma (i.e., dental procedures) can allow this bacteria to inhabit other regions. There have been rare reports of actinomycosis of the paranasal sinuses. We present a case of a 50-year-old female who originally presented with a suspected oroantral fistula who subsequently was found to have actinomycosis involving her right maxillary sinus. Additionally, the dental extraction site revealed no connection with the maxillary sinus. We discuss the diagnostic approach and management of this patient as it relates to the limited existing literature.
url http://dx.doi.org/10.1155/2017/7568390
work_keys_str_mv AT jasonecohn unilateralmaxillarysinusactinomycosiswithaclosedoroantralfistula
AT marklentner unilateralmaxillarysinusactinomycosiswithaclosedoroantralfistula
AT huili unilateralmaxillarysinusactinomycosiswithaclosedoroantralfistula
AT matthewnagorsky unilateralmaxillarysinusactinomycosiswithaclosedoroantralfistula
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