Puppala A R, Steinheber F U
Postgrad Med. 1978 Apr;63(4):179-80, 182. doi: 10.1080/00325481.1978.11714817.
A 67-year-old man had actinomycosis with primary involvement of the abdominal wall, which is rare. His chief complaint was an enlarging, hard, nontender mass in the right lower quadrant of the abdomen. The mass had been present for two weeks and measured 11 X 8 cm. An x-ray film of the chest, barium studies of the gastrointestinal tract, and an intravenous pyelogram showed no abnormalities. Excisional biopsy was performed, and the findings were consistent with Actinomyces israelii infection. There was no evidence of underlying bowel disease or break in continuity of the mucous membrane. The patient responded well to a three-month course of penicillin therapy.
一名67岁男性患放线菌病，主要累及腹壁，这种情况较为罕见。他的主要症状是腹部右下腹有一个不断增大、坚硬、无压痛的肿块。该肿块已存在两周，大小为11×8厘米。胸部X光片、胃肠道钡餐检查及静脉肾盂造影均未显示异常。进行了切除活检，结果与以色列放线菌感染相符。没有潜在肠道疾病或黏膜连续性中断的证据。患者对为期三个月的青霉素治疗反应良好。
