Samant Sumit, Sandoe Jonathan, High Alec, Makura Zvoru G G
Department of Otolaryngology/Head& Neck Surgery, Leeds General Infirmary, Leeds, UK.
Br J Oral Maxillofac Surg. 2009 Jul;47(5):417-8. doi: 10.1016/j.bjoms.2008.10.009. Epub 2008 Dec 2.
Actinomycosis is a slowly progressive infection that can occur anywhere in the body. Three distinct clinical entities are described: cervico-facial, abdomino-pelvic and thoracopulmonary. Actinomyces are anaerobic, gram positive, non-acid-fast, branched filamentous bacteria that form part of the normal oral, colonic and vaginal flora of humans. The cervico-facial form of the disease is commonest and results from direct invasion of commensal oral actinomyces into local tissues. The most frequently isolated species is A. israelii. We describe a case where Actinomycosis caused massive unilateral hypertrophy of the tonsil, mimicking neoplasia. This is an unusual presentation of Actinomycosis.
放线菌病是一种可发生于身体任何部位的缓慢进展性感染。该病有三种不同的临床类型：颈面部型、腹盆腔型和胸肺型。放线菌是厌氧菌，革兰氏阳性，抗酸染色阴性，呈分支丝状，是人类口腔、结肠和阴道正常菌群的一部分。颈面部型放线菌病最为常见，是由口腔共生放线菌直接侵入局部组织所致。最常分离出的菌种是衣氏放线菌。我们报告一例放线菌病导致扁桃体单侧巨大肥大，类似肿瘤的病例。这是放线菌病的一种不寻常表现。
