City Eye Centre, Brisbane, Australia.
Ophthalmic Plast Reconstr Surg. 2011 Jul-Aug;27(4):e100-2. doi: 10.1097/IOP.0b013e3181f29cb3.
Actinomycosis is a rare cause of a caruncular mass previously unreported in large clinicohistopathologic studies. A 25-year-old man presented with an enlarged and irritated left caruncle and an otherwise normal ocular examination. After the patient failed to respond to conservative medical management, an excision biopsy revealed an underlying diagnosis of actinomycotic granule of the caruncle. The patient's symptoms resolved, and after 6 months of follow up there was no evidence of recurrence. Actinomycosis is a slowly progressive, chronic infection with a nonspecific clinical presentation. Diagnosis is therefore difficult and is generally made on the basis of histopathology. This case demonstrates that actinomycosis can present as a caruncular mass.
放线菌病是一种罕见的引起肉阜肿块的原因，在大型临床组织病理学研究中以前未有报道。一名 25 岁男性因左侧肉阜增大和刺激以及其他正常的眼部检查而就诊。在患者对保守的药物治疗无反应后，进行了切除活检，结果显示为放线菌性肉阜颗粒。患者的症状得到缓解，经过 6 个月的随访，没有复发的迹象。放线菌病是一种缓慢进展的慢性感染，临床表现无特异性。因此，诊断困难，通常基于组织病理学。本病例表明，放线菌病可表现为肉阜肿块。
