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手指放线菌病:病例报告及文献综述

Actinomycosis of Finger: Case Report and Review of the Literature.

作者信息

Moghimi Mansour, Yazdi Mohammad Baghi, Zarch Mojtaba Babaei

机构信息

Assistant Professor, Department of Pathology, School of Medicine, Shahid Sadoughi University of Medical Sciences , Yazd, Iran .

Medical Student, School of Medicine, Shahid Sadoughi University of Medical Sciences , Yazd, Iran .

出版信息

J Clin Diagn Res. 2016 Aug;10(8):EC19-20. doi: 10.7860/JCDR/2016/16926.8370. Epub 2016 Aug 1.

Abstract

Cutaneous actinomycosis of finger is very unusual, chronic granulomatous disease caused by a group of anaerobic or microaerophilic Gram-positive filamentous bacteria that normally colonize the mouth, colon and urogenital tract. Actinomycosis of finger is rare but clinically important condition that requires suitable evaluation for guiding appropriate therapy. We hereby report a case of cutaneous actinomycosis of the right finger- a rare site, in a 34-year-old female patient which underwent usual treatment of surgical excision. This patient complained of existence of a mass and tenderness in the pulp of right index finger. The X-ray of hand revealed no significant abnormality. The patient was treated successfully with surgical excision. Surgery detected five small nodules measuring 0.5 to 1 cm in size. Histopathologic examination of the biopsy from the lesions confirmed diagnosis of cutaneous actinomycosis. Here, we report a cutaneous actinomycosis in a 34-year-old female located in the index finger.

摘要

手指皮肤放线菌病非常罕见,是由一组厌氧或微需氧的革兰氏阳性丝状细菌引起的慢性肉芽肿性疾病,这些细菌通常定植于口腔、结肠和泌尿生殖道。手指放线菌病虽罕见,但临床上很重要,需要进行适当评估以指导恰当治疗。我们在此报告一例34岁女性患者右手手指(罕见部位)皮肤放线菌病,该患者接受了手术切除的常规治疗。该患者主诉右手食指指腹有肿块及压痛。手部X线检查未发现明显异常。患者经手术切除治疗成功。手术发现5个大小为0.5至1厘米的小结节。对病变活检组织进行的组织病理学检查确诊为皮肤放线菌病。在此,我们报告一例位于食指的34岁女性皮肤放线菌病。

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引用本文的文献

1
Cutaneous actinomycosis and long-term management through using oral and topical antibiotics: A case report.
Clin Pract. 2018 Dec 4;8(4):1102. doi: 10.4081/cp.2018.1102. eCollection 2018 Oct 26.

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