Mumme T, Peiper C, Biesterfeld S, Schumpelick V
Chirurgische Universitäts- und Poliklinik und Aachen, Germany.
Zentralbl Chir. 2001 Aug;126(8):632-4. doi: 10.1055/s-2001-16562.
We report the rare case of a retrocecal appendicitis in an adult caused by an Actinomyces israelii mixed infection. Suspecting an acute appendicitis the explorative laparotomy was performed. Appendectomy with extensive drainage of the abscess and subsequent high-dose penicillin therapy over several months were the definitive treatment, resulting in complete healing. Special features of clinical symptomatology and problems concerning diagnosis and differential diagnosis are discussed.
我们报告了一例罕见的成年回盲部放线菌混合感染所致阑尾炎病例。因怀疑急性阑尾炎而进行了剖腹探查术。阑尾切除并对脓肿进行广泛引流，随后进行数月的大剂量青霉素治疗是最终治疗方法，结果实现了完全治愈。文中讨论了临床症状的特殊特征以及诊断和鉴别诊断方面的问题。
