Bergenhenegouwen L A, de Haan H H, Sijbrandij E S, Groeneveld P H
Afd. Gynaecologie en Verloskunde, Isala Klinieken, locatie Sophia, Postbus 10.400, 8000 GK Zwolle.
Ned Tijdschr Geneeskd. 2003 Nov 29;147(48):2382-5.
Extensive abdominal infections with Actinomyces were diagnosed in two women aged 35 and 33 years respectively, who suffered from the nonspecific symptoms fever and abdominal pain. These infections occur more often in women with an intrauterine device. Development of an abdominal mass with ureter or bowel obstruction may cause hydronephrosis and mechanical ileus. The patients underwent a laparotomy and a double-J catheter was inserted, which could be removed later on (temporary stoma). Treatment included high-dose penicillin i.v. followed by oral amoxicillin. Both patients recovered. It may be difficult to establish this diagnosis: the first patient was diagnosed by histopathological examination, in the second Actinomyces had been found in a routine cervical smear a few years earlier.
两名分别为35岁和33岁的女性被诊断出患有广泛性腹部放线菌感染，她们均有发热和腹痛等非特异性症状。这些感染在使用宫内节育器的女性中更为常见。腹部肿块伴输尿管或肠道梗阻可能导致肾积水和机械性肠梗阻。患者接受了剖腹手术并插入了双J导管，该导管随后可取出（临时造口）。治疗包括静脉注射大剂量青霉素，随后口服阿莫西林。两名患者均康复。确立该诊断可能存在困难：首例患者通过组织病理学检查确诊，第二例患者几年前在常规宫颈涂片检查中发现了放线菌。
