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酷似恶性卵巢肿瘤的腹盆腔放线菌病:病例报告及文献复习

Abdominopelvic Actinomycosis Mimicking a Malignant Ovarian Neoplasia: Case Report and Review of Literature.

作者信息

Regino Carlos A, Navarro Kevin, García Andrés, Bacca Juliana, Uribe Natali

机构信息

Internal Medicine, University of Antioquia, Medellín, COL.

Internal Medicine, IPS Universitaria Clínica León XIII, Medellín, COL.

出版信息

Cureus. 2020 Dec 20;12(12):e12182. doi: 10.7759/cureus.12182.

DOI:10.7759/cureus.12182
PMID:33489593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7814515/
Abstract

Abdominal actinomycosis is a chronic, granulomatous, and indolent disease produced by ., a gram-positive filamentous bacillus, anaerobic, commensal in the oral cavity, gastrointestinal tract, and pelvic mucosa. Diagnosis is usually difficult and delayed due to its insidious presentation. It can simulate different neoplastic, inflammatory as well as infectious diseases such as tuberculosis, nocardiosis, or mycosis. In most cases, the diagnosis is made postoperatively with the histopathological report, and only 10% of them are diagnosed preoperatively. We present two cases of abdominopelvic actinomycosis simulating advanced ovarian neoplasia.

摘要

腹部放线菌病是一种由革兰氏阳性丝状杆菌、厌氧菌引起的慢性、肉芽肿性、隐匿性疾病,该菌在口腔、胃肠道和盆腔黏膜中作为共生菌存在。由于其隐匿的表现,诊断通常很困难且会延迟。它可以模拟不同的肿瘤性、炎症性以及感染性疾病,如结核病、诺卡菌病或真菌病。在大多数情况下,诊断是在术后通过组织病理学报告做出的,只有10%的病例在术前被诊断出来。我们报告两例模拟晚期卵巢肿瘤的腹盆腔放线菌病病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f5/7814515/6985e2c744c5/cureus-0012-00000012182-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f5/7814515/862eedce28b8/cureus-0012-00000012182-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f5/7814515/716760626201/cureus-0012-00000012182-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f5/7814515/e317dee80327/cureus-0012-00000012182-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f5/7814515/6985e2c744c5/cureus-0012-00000012182-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f5/7814515/862eedce28b8/cureus-0012-00000012182-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f5/7814515/716760626201/cureus-0012-00000012182-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f5/7814515/e317dee80327/cureus-0012-00000012182-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f5/7814515/6985e2c744c5/cureus-0012-00000012182-i04.jpg

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引用本文的文献

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本文引用的文献

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Presentation of pulmonary tuberculosis and actinomyces co-infection as a lung mass: a literature review and unique case report.肺结核与放线菌共感染表现为肺部肿块:文献综述及罕见病例报告
Monaldi Arch Chest Dis. 2019 Nov 7;89(3). doi: 10.4081/monaldi.2019.1180.
2
Abdominal actinomycosis in the last 10 years and risk factors for appendiceal actinomycosis: review of the literature.近 10 年的腹部放线菌病及阑尾放线菌病的危险因素:文献复习。
Turk J Med Sci. 2017 Feb 27;47(1):98-102. doi: 10.3906/sag-1511-52.
3
Antimicrobial susceptibility of clinical isolates of Actinomyces and related genera reveals an unusual clindamycin resistance among Actinomyces urogenitalis strains.
临床分离的放线菌属和相关属的抗菌药物敏感性研究显示,泌尿生殖道放线菌菌株中存在一种不寻常的克林霉素耐药现象。
J Glob Antimicrob Resist. 2017 Mar;8:115-120. doi: 10.1016/j.jgar.2016.11.007. Epub 2017 Jan 18.
4
Estimates of the incidence of actinomycosis in Colombia.
Enferm Infecc Microbiol Clin. 2017 Jun-Jul;35(6):393-394. doi: 10.1016/j.eimc.2015.07.007. Epub 2015 Aug 20.
5
Actinomycosis: a frequently forgotten disease.放线菌病:一种常被遗忘的疾病。
Future Microbiol. 2015;10(4):613-28. doi: 10.2217/fmb.14.130.
6
Actinomyces and related organisms in human infections.放线菌及相关微生物在人类感染中的情况。
Clin Microbiol Rev. 2015 Apr;28(2):419-42. doi: 10.1128/CMR.00100-14.
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Primary abdominal wall actinomycosis.原发性腹壁放线菌病。
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