Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2015; 26(2):248-252

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2015.26.2.248

증례

A Case of Middle Ear Actinomycosis Treated by Non-Surgical Method

Eun Jung Lim¹, Ki Hwan Kwak¹, Tae Hoon Kim¹, SungHee Kim¹^,^*

¹Department of Otolaryngology-Head and Neck Surgery, Daegu Fatima Hospital, Daegu, Korea

^*교신저자: 김성희, 41199 대구광역시 동구 아양로 99 대구 파티마병원 이비인후과 전화： (053) 940-7350·전송: (053) 954-7417 E-mail： sungheekim@fatima.or.kr

© Copyright 2015 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 17, 2015; Revised: Oct 07, 2015; Accepted: Nov 06, 2015

Published Online: May 31, 2020

ABSTRACT

Actinomycosis is a chronic suppurative infection by Actinomyces species, which rarely involves the middle ear and seldom diagnosed prior to tympanomastoidectomy. Unlike actinomycosis of the other body part, surgical removal is generally conducted in middle ear actinomycosis. We present the case of a 72-year-old female with 1-month history of otalgia and otorrhea in the left ear. Otoscopic examination revealed voluminous granulation tissue obstructing the ear canal with serous discharge. Excisional biopsy of the granulation tissue revealed actinomycosis. Tympanomastoid surgery was advised to treat presumed residual mastoid disease, but it was refused by the patient. 2 weeks of intravenous antibiotics and 6 months of penicillin was administered, and with a follow-up of 2 years she is free of symptom. Early diagnosis of actinomycosis and proper medication with antibiotics could control the symptoms and disease without surgery in some selected cases. (J Clinical Otolaryngol 2015;26:248–252)

Keywords: Actinomycosis; Mastoid; Temporal bone