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播散性眶部放线菌病：一例报告。

Disseminated orbital actinomycetoma: a case report.

机构信息

D. Y. Patil Medical College and Research Center, Navi Mumbai, India.

出版信息

Indian J Ophthalmol. 2010 Jan-Feb;58(1):60-3. doi: 10.4103/0301-4738.58474.

DOI:10.4103/0301-4738.58474
PMID:20029148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2841376/
Abstract

Mycetoma is a chronic granulomatous infection. Lower extremities are commonly involved. A 20-year-old male came with complaints of multiple sinuses on scalp, left eyelid swelling with a sinus and dystopia, since one year. On examination there was relative proptosis in left eye of 2 mm. Computed tomography scan showed soft tissue swelling of the pre-septal area of the left upper eyelid with orbital involvement. Magnetic resonance imaging showed increased left orbital volume and evident dystopia. Microbiology testing of the erosive scalp and lid lesions showed genus Nocardia, suggestive of actinomycetoma. This case is presented as it shows an unusual involvement of the orbit.

摘要

足菌肿是一种慢性肉芽肿性感染。下肢最常受累。一名 20 岁男性因头皮多个窦道、左眼肿胀伴窦道和斜视来就诊，病史 1 年。检查发现左眼有 2mm 的相对突出。计算机断层扫描显示左眼额隔前区软组织肿胀伴眶内受累。磁共振成像显示左侧眶容积增大，明显斜视。侵蚀性头皮和眼睑病变的微生物学检测显示诺卡氏菌属，提示放线菌肿。本病例的特殊性在于其眼眶受累。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/9c82488e883e/IJO-58-60-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/f1add2b4ee71/IJO-58-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/1f77dfe0ea8d/IJO-58-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/bc4bec5e5b57/IJO-58-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/72c6dd787c9c/IJO-58-60-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/9c82488e883e/IJO-58-60-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/f1add2b4ee71/IJO-58-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/1f77dfe0ea8d/IJO-58-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/bc4bec5e5b57/IJO-58-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/72c6dd787c9c/IJO-58-60-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0815/2841376/9c82488e883e/IJO-58-60-g005.jpg

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