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Case Reports
. 2025 Dec;104(12):763-765.
doi: 10.1177/01455613231170603. Epub 2023 Apr 17.

Leave No Stone Unturned: A Case of an Actinomyces Rhinolith Presenting With Chronic Cough and Throat Pain

Matthew Harmon  1 , Joshua A Stramiello  1 , Ahmed Shabaik  2 , Andrew M Vahabzadeh-Hagh  1
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Free article
Case Reports

Leave No Stone Unturned: A Case of an Actinomyces Rhinolith Presenting With Chronic Cough and Throat Pain

Matthew Harmon et al. Ear Nose Throat J. 2025 Dec.
Free article

Abstract

Actinomycosis infection in the nasal cavity, especially an actinomyces rhinolith, is extremely rare. It should be considered in cases where a heterogenous calcified mass is found within the nasal cavity on endoscopy and radiographically. Treatment includes surgical debridement and a prolonged course of antibiotics, unique from the more typically encountered fungus ball. This case highlights the broad differential for chronic cough and throat pain and the importance of considering sinonasal contributions to throat symptoms.

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Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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