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曲霉病与放线菌病罕见并存。

A rare coexistence of aspergillosis with actinomycosis.

作者信息

Vinay B Hari, Mohan Aditya, Haritha P, Lakshmi K Roja

机构信息

Department of Oral and Maxillofacial Pathology, Panineeya Institute of Dental Sciences, Hyderabad, Telangana, India.

Department of Oral and Maxillofacial Surgery, Panineeya Institute of Dental Sciences, Hyderabad, Telangana, India.

出版信息

J Oral Maxillofac Pathol. 2017 May-Aug;21(2):277-281. doi: 10.4103/jomfp.JOMFP_66_17.

DOI:10.4103/jomfp.JOMFP_66_17
PMID:28932040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5596681/
Abstract

Aspergillosis is a common systemic mycosis which affects immunocompromised and immunocompetent hosts. spp. is wide spread in the environment in most countries, which renders an invasive form of disease. The presence conidial heads are pathognomic to aspergillosis in diagnosis. Actinomycosis is a subacute-to-chronic infection that causes sinus fistula, tract or abscess due to the invasion surrounding the soft tissue. Cervicofacial infection accounts for 50%-60% of all actinomycosis cases. The mandible and nasopharynx are the sites of predilection, but maxillary infection is rare. Aspergillosis and Actinomycosis each of them was reported in case, but mixed infection of both organisms is rare, only one case has been reported. This paper discussed about a case report of coexistence of aspergillosis with actinomycosis in 38-year-old male.

摘要

曲霉病是一种常见的系统性真菌病,可影响免疫功能低下和免疫功能正常的宿主。曲霉属在大多数国家的环境中广泛存在,可导致侵袭性疾病。分生孢子头的存在在曲霉病诊断中具有特征性。放线菌病是一种亚急性至慢性感染,由于周围软组织受侵可导致窦道瘘管、窦道或脓肿。颈面部感染占所有放线菌病病例的50%-60%。下颌骨和鼻咽部是好发部位,但上颌感染罕见。曲霉病和放线菌病均有病例报道,但两种病原体的混合感染罕见,仅报道过1例。本文讨论了1例38岁男性曲霉病与放线菌病并存的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/66872e81b204/JOMFP-21-277-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/1112ecc6ef28/JOMFP-21-277-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/69dd70e20153/JOMFP-21-277-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/d3ff1ede8eca/JOMFP-21-277-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/cd34e029177a/JOMFP-21-277-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/db27d6de0713/JOMFP-21-277-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/66872e81b204/JOMFP-21-277-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/1112ecc6ef28/JOMFP-21-277-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/69dd70e20153/JOMFP-21-277-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/d3ff1ede8eca/JOMFP-21-277-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/cd34e029177a/JOMFP-21-277-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/db27d6de0713/JOMFP-21-277-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e793/5596681/66872e81b204/JOMFP-21-277-g006.jpg

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本文引用的文献

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Conidial heads (Fruiting Bodies) as a hallmark for histopathological diagnosis of angioinvasive aspergillosis.分生孢子头(子实体)作为血管侵袭性曲霉病组织病理学诊断的标志。
Autops Case Rep. 2015 Dec 30;5(4):9-18. doi: 10.4322/acr.2015.025. eCollection 2015 Oct-Dec.
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Histopathologic diagnosis of fungal infections in the 21st century.21 世纪真菌病的组织病理学诊断。
Clin Microbiol Rev. 2011 Apr;24(2):247-80. doi: 10.1128/CMR.00053-10.
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预防耳鼻喉相关口腔感染的天然化合物
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Clinicopathological features of 214 maxillary sinus pathologies. A ten-year single-centre retrospective clinical study.214 例上颌窦病变的临床病理特征。一项十年单中心回顾性临床研究。
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