Lipowska Anna M, Johns Michael M
Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Ear Nose Throat J. 2014 Sep;93(9):404-8.
Few cases of pharyngeal actinomycosis have been documented in the literature. We describe the case of a 67-year-old white man who presented with symptoms of dysphagia. Laryngoscopy revealed a pedunculated mass in the left posterior pharyngeal wall; an excisional biopsy confirmed the diagnosis. Postoperatively, the patient underwent 10 weeks of intravenous penicillin therapy followed by 4 months of oral antibiotics, and his condition resolved. We discuss the diagnosis, management, and complications of this rare infection.
文献中记载的咽放线菌病病例很少。我们描述了一名67岁白人男性的病例，他出现了吞咽困难的症状。喉镜检查发现左咽后壁有一个带蒂肿物；切除活检确诊了诊断。术后，患者接受了10周的静脉青霉素治疗，随后4个月口服抗生素，其病情得到缓解。我们讨论了这种罕见感染的诊断、治疗及并发症。
