1Departments of Otolaryngology-Head and Neck Surgery, Hsinchu MacKay Memorial Hospital, Hsinchu, Taiwan
2Mackay Medical College, New Taipei, Taiwan
*Corresponding Author: Bo-Nien Chen, Department of Otolaryngology-Head and Neck Surgery, Hsinchu MacKay Memorial Hospital and Mackay Medical College, New Taipei, Taiwan.
Received: June 30, 2021; Published: July 08, 2021
Objectives: Actinomycosis is a rare subacute to chronic infection caused by Actinomyces, a gram-positive, filamentous, non-acid, fast, anaerobic to microaerophilic bacteria. Herein, we present an extremely rare case of sinonasal actinomycosis with an initial manifestation of oculomotor nerve palsy.
Methods: A 56-year-old man presented to our hospital with a 1-week history of drooping of right upper eyelid, double vision, and right frontal headache. Functional endoscopic sinus surgery was performed bilaterally under endotracheal general anesthesia. The time to surgical intervention following onset of oculomotor nerve palsy was 5 weeks. Antibiotic treatment (ciprofloxacin, 500 mg q12h × 8 weeks) was administered postoperatively for sinonasal actinomycosis.
Results: The patient’s right oculomotor nerve palsy and right frontal headache were markedly improved in the first week after surgery. The patient had completely recovered from both symptoms 1 month after surgery. Follow-up endoscopy performed at 6 months after surgery revealed no recurrence of sinonasal actinomycosis.
Conclusion: This rare case of oculomotor nerve palsy with initial manifestation of sinonasal actinomycosis was amenable to surgical intervention combined with antibiotic treatment and carries an excellent prognosis.
Keywords: Actinomycosis; Actinomyces odontolyticus; Sinusitis; Oculomotor Nerve Palsy; Functional Endoscopic Sinus Surgery
Citation: Bo-Nien Chen., et al. “Oculomotor Nerve Palsy as Initial Manifestation of Sinonasal Actinomycosis: A Rare Case Report". Acta Scientific Pharmaceutical Sciences 5.8 (2021): 58-62.
Copyright: © 2021 Bo-Nien Chen., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.