儿童胸段放线菌病：病例报告及文献复习

Thoracic actinomycosis in children: case report and review of the literature.

作者信息

Bartlett Allison H, Rivera Andreana L, Krishnamurthy Rajesh, Baker Carol J

机构信息

Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX 77030, USA.

出版信息

Pediatr Infect Dis J. 2008 Feb;27(2):165-9. doi: 10.1097/INF.0b013e3181598353.

DOI:10.1097/INF.0b013e3181598353

PMID:18174864

Abstract

Thoracic actinomycosis is uncommon, indolent, and often not considered in children with chest wall masses, pneumonia, or empyema. We present a 27-month-old girl without risk factors for thoracic actinomycosis whose initial diagnosis was malignancy. She recovered completely after lobectomy, debridement, and antimicrobial therapy. Literature review since 1975 identified 54 additional cases; most were male, older, and had underlying risk factors.

摘要

胸段放线菌病并不常见，病程进展缓慢，对于患有胸壁肿块、肺炎或脓胸的儿童，往往不会考虑到这种疾病。我们报告了一名27个月大的女童，她没有胸段放线菌病的危险因素，最初被诊断为恶性肿瘤。在接受肺叶切除术、清创术和抗菌治疗后，她完全康复。对1975年以来的文献回顾发现了另外54例病例；大多数患者为男性，年龄较大，且有潜在危险因素。