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一名哥斯达黎加女童患胸段和肾放线菌病，需行右侧全肾切除术

Thoracic and Renal Actinomycosis Requiring Complete Right Nephrectomy in a Costa Rican Female Child.

作者信息

Segura-Perez Edward, Ulloa-Gutierrez Rolando, Ávila-Aguero María L

机构信息

Pediatric Infectious Diseases, Hospital Nacional De Niños "Dr. Carlos Sáenz Herrera", San José, CRI.

出版信息

Cureus. 2020 Feb 4;12(2):e6879. doi: 10.7759/cureus.6879.

DOI:10.7759/cureus.6879
PMID:32190442
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7058395/
Abstract

Actinomycosis is a relatively uncommon bacterial disease of childhood, especially when presenting as deep-seated infections. Only 10% of affected patients are younger than 18 years of age. In children, cervical actinomycosis is the most common form of clinical presentation, and among the abdominopelvic form, renal abscesses are rare. We describe an uncommon and severe case of a five-year-old Costa Rican girl with thoracic and renal actinomycosis who required a complete nephrectomy.

摘要

放线菌病是一种相对罕见的儿童细菌性疾病，尤其是当表现为深部感染时。仅10%的受影响患者年龄小于18岁。在儿童中，颈部放线菌病是最常见的临床表现形式，而在腹盆腔型中，肾脓肿很少见。我们描述了一例罕见且严重的病例，一名五岁的哥斯达黎加女孩患有胸段和肾放线菌病，需要进行全肾切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f710/7058395/c38c1caeb6af/cureus-0012-00000006879-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f710/7058395/c38c1caeb6af/cureus-0012-00000006879-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f710/7058395/c38c1caeb6af/cureus-0012-00000006879-i01.jpg

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Thoracic and Renal Actinomycosis Requiring Complete Right Nephrectomy in a Costa Rican Female Child.一名哥斯达黎加女童患胸段和肾放线菌病，需行右侧全肾切除术
Cureus. 2020 Feb 4;12(2):e6879. doi: 10.7759/cureus.6879.
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本文引用的文献

1
A case of pediatric cervicofacial actinomyces masquerading as malignancy: Case report and review of the literature.一例伪装成恶性肿瘤的儿童颈面部放线菌病：病例报告及文献复习
Int J Pediatr Otorhinolaryngol. 2019 Jan;116:204-208. doi: 10.1016/j.ijporl.2018.11.001. Epub 2018 Nov 3.
2
Abdominal Actinomycosis in Children: A Case Report and Literature Review.儿童腹部放线菌病：一例报告及文献综述
Pediatr Infect Dis J. 2017 Mar;36(3):e76-e79. doi: 10.1097/INF.0000000000001416.
3
[Thoracic actinomycosis: report of a case].
Arch Argent Pediatr. 2015 Dec 1;113(6):e345-8. doi: 10.5546/aap.2015.e345.
4
Fulminant course of unilateral emphysematous pyelonephritis revealing a renal actinomycosis caused by Actinomyces meyeri, an unknown cause of septic shock.单侧气肿性肾盂肾炎的暴发性病程，提示由梅耶放线菌引起的肾放线菌病，这是一种未知原因引起的感染性休克。
J Intensive Care. 2014 Jul 8;2(1):42. doi: 10.1186/2052-0492-2-42. eCollection 2014.
5
Actinomycosis: etiology, clinical features, diagnosis, treatment, and management.放线菌病：病因、临床特征、诊断、治疗和管理。
Infect Drug Resist. 2014 Jul 5;7:183-97. doi: 10.2147/IDR.S39601. eCollection 2014.
6
A case of frozen pelvis: primary actinomycosis of urinary bladder in a young boy.一例冰冻骨盆：年轻男孩膀胱原发性放线菌病。
J Pediatr Surg. 2012 Dec;47(12):e9-11. doi: 10.1016/j.jpedsurg.2012.08.023.
7
Abdominal actinomycosis--can early diagnosis prevent extensive surgery?腹部放线菌病——早期诊断能否避免广泛手术？
Int J Clin Pract. 2010 Jan;64(1):106-9. doi: 10.1111/j.1742-1241.2006.00935.x.
8
A new form of presentation of renal actinomycosis: renal tumor with retroperitoneal bleeding.
Arch Esp Urol. 2006 Sep;59(7):756-9. doi: 10.4321/s0004-06142006000700018.