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[颈面部放线菌病的临床症状与治疗。文献综述及病例报告]

[Clinical symptoms and treatment of cervicofacial actinomycosis. Literature survey and case report].

作者信息

Orosz Mihály, Agh-Bíró Zoltan, Osztheimer István, Pánczél Pál

机构信息

Semmelweis Egyetem, Fogorvostudominyi Kar, Oktatdsi Rdszleg, Szajsebdszet, Budapest.

出版信息

Fogorv Sz. 2007 Aug;100(4):135-40.

Abstract

Actinomycosis is a chronic, specific inflammation which is characterized by suppuration, abscess formation, tissue fibrosis and granuloma formation. Actinomycosis has three main forms (cervicofacial, which is the most frequent, approximately 60%, pulmonary and abdominal), but other regions of the body can be involved, too (e.g. neck, ovaries, bones), that is why its differential diagnosis becomes more and more relevant. Regarding its treatment, the majority of authors recommends the combination of surgical and antibiotic treatment. The authors of this article present a typical case of cervicofacial actinomycosis, in which the authors used the combination of surgical and antibiotic treatment. As a result of the treatment the healing process was completed successfully and without complications.

摘要

放线菌病是一种慢性特异性炎症,其特征为化脓、脓肿形成、组织纤维化和肉芽肿形成。放线菌病有三种主要形式(最常见的是颈面部,约占60%,其次是肺部和腹部),但身体的其他部位也可能受累(如颈部、卵巢、骨骼),这就是为什么其鉴别诊断变得越来越重要。关于其治疗,大多数作者推荐手术治疗与抗生素治疗相结合。本文作者介绍了一例典型的颈面部放线菌病病例,作者在该病例中采用了手术治疗与抗生素治疗相结合的方法。经过治疗,愈合过程顺利完成,未出现并发症。

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