Touboul J L, Chaussade F, Desvignes B, Mangeney T, Bidault C
Rev Pneumol Clin. 1990;46(2):69-72.
Two cases of isolated pleural actinomycosis are reported. This form is much less frequent than the pulmonary form, and it accounts for only 20% of thoracic actinomycoses. The bacteriological diagnosis is easily obtainable by pleural puncture, provided it has not been obscured by previous antibiotic therapy and provided the organism has systematically been cultured under anaerobic conditions. Pleural actinomycosis has a very favourable prognosis. Local treatment, sometimes surgical, is indispensable. If the condition is diagnosed at an early stage, systemic antibiotic therapy can be reduced to 6 to 12 weeks.
报告了两例孤立性胸膜放线菌病病例。这种形式比肺部形式少见得多,仅占胸部放线菌病的20%。如果之前未接受抗生素治疗且在厌氧条件下系统培养该微生物,通过胸腔穿刺很容易获得细菌学诊断。胸膜放线菌病预后非常良好。局部治疗(有时是手术治疗)必不可少。如果在早期诊断出该病,全身抗生素治疗可减至6至12周。