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肝胆放线菌病，一种罕见疾病的罕见表现！

Hepatobiliary Actinomycosis, a Rare Presentation of a Rare Disease!

作者信息

Fatima Iayla, Pretorius Frederick, Botes Stefan, Swanwick Rachel

机构信息

General Surgery, St. Luke's General Hospital, Kilkenny, IRL.

Surgery, St. Luke's General Hospital, Kilkenny, IRL.

出版信息

Cureus. 2020 Dec 31;12(12):e12413. doi: 10.7759/cureus.12413.

DOI:10.7759/cureus.12413
PMID:33542863
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7847779/
Abstract

Actinomycosis is a chronic granulomatous infection caused by opportunistic bacteria, Actinomyces. These bacteria lack virulence and cause disease when there is a breach in the integrity of the mucosa. Diagnosis of Actinomycosis is challenging and less than 10% of abdominopelvic cases are diagnosed preoperatively. The treatment involves prolonged course of antibiotics with or without removal of tissue. In this case report we will present a case of hepatobiliary actinomycosis which was managed by a combination of both surgical and medical treatment.

摘要

放线菌病是一种由机会性细菌放线菌引起的慢性肉芽肿性感染。这些细菌缺乏毒力，当黏膜完整性遭到破坏时会引发疾病。放线菌病的诊断具有挑战性，术前诊断出的腹盆腔病例不到10%。治疗包括使用抗生素进行长期治疗，可能还需要切除组织。在本病例报告中，我们将呈现一例通过手术和药物联合治疗的肝胆放线菌病病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5252/7847779/9aeb0cdb500a/cureus-0012-00000012413-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5252/7847779/50cc66445e19/cureus-0012-00000012413-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5252/7847779/9aeb0cdb500a/cureus-0012-00000012413-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5252/7847779/50cc66445e19/cureus-0012-00000012413-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5252/7847779/9aeb0cdb500a/cureus-0012-00000012413-i02.jpg

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Hepatobiliary Actinomycosis, a Rare Presentation of a Rare Disease!肝胆放线菌病，一种罕见疾病的罕见表现！
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A case of recurrent acute cholecystitis caused by Actinomyces odontolyticus, rare actinomycosis.由龋齿放线菌引起的复发性急性胆囊炎病例，罕见放线菌病。

本文引用的文献

1
Hepatobiliary actinomycosis masquerading as malignancy.伪装成恶性肿瘤的肝胆放线菌病。
Trop Gastroenterol. 2014 Oct-Dec;35(4):253-6. doi: 10.7869/tg.226.
2
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.
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Actinomycosis.放线菌病
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Actinomycosis of the common bile duct diagnosed by endoscopic ultrasound fine-needle aspiration.经内镜超声引导细针穿刺确诊的胆总管放线菌病
Gastroenterol Hepatol (N Y). 2010 Nov;6(11):725-7.
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Actinomycosis of the gallbladder: case report and review of the literature.胆囊放线菌病：病例报告及文献综述
Asian J Surg. 2005 Jul;28(3):230-2. doi: 10.1016/S1015-9584(09)60350-X.
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Primary actinomycosis of the anterior abdominal wall: case report and review of the literature.腹壁前部原发性放线菌病：病例报告及文献复习
J Gastroenterol Hepatol. 2005 Apr;20(4):517-20. doi: 10.1111/j.1440-1746.2004.03564.x.
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Abdominal actinomycosis.腹部放线菌病
Clin Microbiol Infect. 2003 Aug;9(8):881-5. doi: 10.1046/j.1469-0691.2003.00653.x.
8
Abdominopelvic actinomycosis involving the gastrointestinal tract: CT features.累及胃肠道的腹盆腔放线菌病：CT特征
Radiology. 2001 Jul;220(1):76-80. doi: 10.1148/radiology.220.1.r01jl1376.
9
Actinomycosis of the colon: a rare form of presentation.结肠放线菌病：一种罕见的表现形式。
Scand J Gastroenterol. 2000 Jan;35(1):108-9. doi: 10.1080/003655200750024623.
10
Actinomycosis of the cholecystic duct: case report and review.
Pathology. 1998 Feb;30(1):65-7. doi: 10.1080/00313029800169695.