原发性腹壁放线菌病。
Primary abdominal wall actinomycosis.
作者信息
Karaca B, Tarakci H, Tumer E, Calik S, Sen N, Sivrikoz O N
机构信息
Infectious Diseases and Clinical Microbiology Department, Izmir Bozyaka Educational and Research Hospital, Saim Cikrikci cad. No: 59 Bozyaka, Izmir, Turkey.
Infectious Diseases and Clinical Microbiology Department, Izmir Büyükşehir Belediyesi Eşrefpaşa Hastanesi, Izmir, Turkey.
出版信息
Hernia. 2015 Dec;19(6):1015-8. doi: 10.1007/s10029-013-1208-2. Epub 2014 Jan 4.
PURPOSE
Actinomycosis is a progressive, chronic, granulomatous and suppurative disease caused by different types of actinomyces. Instead of chronic suppurative disease, sinus formation can also be seen. Cervicofascial, abdominal and thoracal involvement can occur. Abdominal wall actinomycosis is an infrequent clinical form. Isolated anterior wall actinomycosis is a very rare form of the disease.
METHODS
This is an interventional case report.
RESULTS
A 62-year-old female patient with abdominal mass was referred to hospital. She had diabetes mellitus. On the examination she had abdominal tenderness. The computerized tomography revealed an irregular density sized 6.5 × 5 × 3.5 cm in the umbilical area. Surgical debridement and incisional biopsy performed. The diagnosis is confirmed by histopathological examination. The patient received parenteral crystalline penicillin treatment and recovered.
CONCLUSION
Physicians should consider abdominal wall actinomycosis in the cases of abdominal masses especially in immunosuppressive patients.
目的
放线菌病是一种由不同类型放线菌引起的进行性、慢性、肉芽肿性和化脓性疾病。除了慢性化脓性疾病外，还可见窦道形成。可发生颈面部、腹部和胸部受累。腹壁放线菌病是一种罕见的临床类型。孤立的前壁放线菌病是该疾病非常罕见的一种形式。
方法
这是一篇介入性病例报告。
结果
一名62岁的腹部肿块女性患者被转诊至医院。她患有糖尿病。检查时她有腹部压痛。计算机断层扫描显示脐区有一个大小为6.5×5×3.5厘米的不规则密度影。进行了手术清创和切开活检。组织病理学检查确诊了诊断。患者接受了静脉注射结晶青霉素治疗并康复。
结论
医生在遇到腹部肿块病例时，尤其是免疫抑制患者，应考虑腹壁放线菌病。
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