Bing A U, Loh S F, Morris T, Hughes H, Dixon J M, Helgason K O
Edinburgh Breast Unit, Western General Hospital, NHS Lothian, Edinburgh, Scotland
Edinburgh Breast Unit, Western General Hospital, NHS Lothian, Edinburgh, Scotland.
J Clin Microbiol. 2015 Oct;53(10):3247-55. doi: 10.1128/JCM.01030-15. Epub 2015 Jul 29.
Actinomycosis is a chronic infection caused by Actinomyces species characterized by abscess formation, tissue fibrosis, and draining sinuses. The spectrum of infections caused by Actinomyces species ranges from classical invasive actinomycosis to a less invasive form of superficial skin and soft tissue infection. We present a review detailing all Actinomyces species isolated from breast infections in NHS Lothian between 2005 and 2013, Actinomyces species isolated from breast infections referred to the United Kingdom Anaerobe Reference Unit between 1988 and 2014, and cases describing Actinomyces breast infections published in the medical literature since 1994. Actinomyces species are fastidious organisms which can be difficult to identify and are likely to be underascertained as a cause of breast infections. Due to improved diagnostic methods, they are increasingly associated with chronic, recurrent breast infections and may play a more significant role in these infections than has previously been appreciated.
放线菌病是由放线菌属引起的一种慢性感染，其特征为脓肿形成、组织纤维化和引流窦道。放线菌属引起的感染范围从典型的侵袭性放线菌病到侵袭性较小的浅表皮肤和软组织感染形式。我们进行了一项综述，详细介绍了2005年至2013年在NHS Lothian从乳腺感染中分离出的所有放线菌属菌株、1988年至2014年提交给英国厌氧菌参考单位的从乳腺感染中分离出的放线菌属菌株，以及自1994年以来医学文献中发表的描述放线菌性乳腺感染的病例。放线菌属是苛求菌，可能难以鉴定，并且作为乳腺感染的病因很可能未得到充分诊断。由于诊断方法的改进，它们越来越多地与慢性复发性乳腺感染相关，并且在这些感染中可能发挥比以前认识到的更重要的作用。
