Benkhraba Khawla, Benkabbou Amine, El Malki Hadj Omar, Amahzoune Mohamed, Mohsine Raouf, Ifrine Lahcen, Belkouchi Abdelkader, Balafrej Saïd
Clinique Chirurgicale A, Hôpital Ibn Sina, Rabat, Maroc.
Gastroenterol Clin Biol. 2006 May;30(5):775-8. doi: 10.1016/s0399-8320(06)73313-9.
Actinomycosis is a chronic suppurative disease. It is caused by an anaerobic bacterium, generally Actinomyces israelii. Cervical and thoracic localizations are most frequent. Digestive actinomycosis is rare and can simulate cancer leading to resection. We report 3 cases of surgical abdominal actinomycosis. Localization was colic in 2 cases and hepatic in 1 case. The diagnosis of actinomycosis was made after resection in the 3 cases. The evolution was favourable under medical treatment. These observations illustrate the difficulty of diagnosing this rare and unrecognised disease which can be cured by long term penicillin therapy.
放线菌病是一种慢性化脓性疾病。它由一种厌氧菌引起，通常为以色列放线菌。颈部和胸部感染最为常见。消化道放线菌病较为罕见，可类似癌症导致进行切除术。我们报告3例腹部手术放线菌病病例。2例为结肠感染，1例为肝脏感染。3例均在切除术后确诊为放线菌病。经药物治疗后病情好转。这些病例说明了诊断这种罕见且易被忽视的疾病的困难，而长期青霉素治疗可治愈该病。
