Kim John, Wood Christopher, Sandkovsky Uriel, Rokadia Haala
Department of Internal Medicine, Baylor University Medical CenterDallasTexas.
Division of Pulmonary and Critical Care Medicine, Baylor University Medical CenterDallasTexas.
Proc (Bayl Univ Med Cent). 2020 Apr 13;33(3):444-445. doi: 10.1080/08998280.2020.1744792. eCollection 2020 Jul.
is a gram-positive anaerobe that colonizes the human oral cavity. Its pathogenesis involves the disruption of the mucosal membrane, leading to suppuration and subsequent abscess formation, most commonly in the cervicofacial region. The bacteria form masses consisting of aggregates of branching, filamentous bacilli. They typically spread by direct tissue invasion and less commonly through hematogenous spread. Lymphatic spread is extremely uncommon. To the best of our knowledge, only two cases have been reported with lymph node involvement. Clinically, lymphadenopathy associated with may be misinterpreted as malignancy, causing unnecessary surgical interventions when only antibiotics are warranted. This case highlights the importance of properly diagnosing a rare phenomenon of lymphadenitis.
是一种定殖于人类口腔的革兰氏阳性厌氧菌。其发病机制涉及黏膜膜的破坏，导致化脓及随后的脓肿形成，最常见于面颈部区域。该细菌形成由分支丝状杆菌聚集体组成的团块。它们通常通过直接组织侵袭传播，较少通过血行传播。淋巴传播极为罕见。据我们所知，仅有两例报道涉及淋巴结受累。临床上，与……相关的淋巴结病可能被误诊为恶性肿瘤，在仅需使用抗生素时导致不必要的手术干预。本病例凸显了正确诊断……淋巴结炎这一罕见现象的重要性。 （原文中部分关键细菌名称缺失，导致译文不够完整准确）
