Ashraf M J, Azarpira N, Khademi B, Hashemi B, Shishegar M
Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran.
Iran Red Crescent Med J. 2011 Jul;13(7):499-502. Epub 2011 Jul 1.
Actinomycosis of the tonsils has been reported in a variable percentage of tonsil specimens by other authors. This study determines the incidence of actinomyces in the palatine tonsil and evaluates the clinical diagnoses and histopathological features of tonsillectomy specimens.
In a retrospective study, 204 patients who had undergone tonsillectomy for recurrent tonsillitis (group A) and for sleep apnea without a history of recurrent tonsillitis (group B) were enrolled.
The prevalence rate was significantly higher in the adult compared with the pediatric population. The prevalence of tonsillar actinomycetes colonization was higher in patients who had undergone tonsillectomy for recurrent tonsillitis (43.9%) than in patients who had undergone tonsillectomy for obstructive sleep apnea (26.3%). The prevalence did not differ by sex of patient. Histopathological analysis of resected tonsils did not show active tissue infection. There was a statistically significant relationship between the presence of actinomycosis and age, with a greater occurrence of actinomycosis in adult patients.
Although actinomyces colonization is more prevalent in patients with recurrent tonsillitis than sleepdisordered breathing, but the presence of actinomyces does not indicate any active disease.
其他作者报道扁桃体放线菌病在不同比例的扁桃体标本中存在。本研究确定腭扁桃体中放线菌的发生率，并评估扁桃体切除标本的临床诊断和组织病理学特征。
在一项回顾性研究中，纳入了204例因复发性扁桃体炎接受扁桃体切除术的患者（A组）和因睡眠呼吸暂停且无复发性扁桃体炎病史接受扁桃体切除术的患者（B组）。
成人的患病率显著高于儿童人群。因复发性扁桃体炎接受扁桃体切除术的患者（43.9%）中扁桃体放线菌定植的患病率高于因阻塞性睡眠呼吸暂停接受扁桃体切除术的患者（26.3%）。患病率在患者性别上无差异。切除扁桃体的组织病理学分析未显示有活动性组织感染。放线菌病的存在与年龄之间存在统计学上的显著关系，成年患者中放线菌病的发生率更高。
尽管放线菌定植在复发性扁桃体炎患者中比在睡眠呼吸障碍患者中更普遍，但放线菌的存在并不表明有任何活动性疾病。
