El Murr T, Tohme A, Farah E, Abadjian G, Ghosn M, Ghayad E
Service de Médecine interne, Hôtel-Dieu de France, Université Saint-Joseph, Beyrouth, Liban.
J Med Liban. 2001 Nov-Dec;49(6):355-8.
In this article, the case of a 32-year-old man with a paravertebral actinomycosis is discussed. Initially, the diagnosis was not obvious but it was confirmed later with the repetitive radiologic procedures, the elimination of other etiologies (purulent, mycobacterial or mycotic infections and neoplasia) and the biopsy. Treatment with penicillin initially and then with tetracycline for a long term led to a very good outcome at a 3-year follow-up with a radiologic remission. Following the discussion of the case, a review of the literature concerning the paravertebral actinomycosis, its diagnostic clues and treatment is undertaken.
本文讨论了一名32岁椎旁放线菌病男性患者的病例。最初,诊断并不明确,但后来通过重复的放射学检查、排除其他病因(化脓性、分枝杆菌或霉菌感染及肿瘤)以及活检得以确诊。最初用青霉素治疗,之后长期使用四环素治疗,在3年随访时取得了非常好的效果,放射学表现缓解。在该病例讨论之后,对有关椎旁放线菌病、其诊断线索及治疗的文献进行了综述。