Biller Jessica J, Cho Ruth, Zagorski Stanley
Surgery, Conemaugh Memorial Medical Center, Johnstown, USA.
Cureus. 2021 Aug 17;13(8):e17266. doi: 10.7759/cureus.17266. eCollection 2021 Aug.
Actinomycosis is a bacterial infection, which rarely affects the esophagus. Our patient presented with persistent acute blood loss anemia and epigastric pain despite previously negative upper endoscopy. He underwent repeat endoscopy a few months later showing what was thought to be malignant esophageal cancer at the gastroesophageal junction; however, the biopsy report revealed chronic inflammation with actinomycosis. This report will discuss the evaluation and management of actinomyces infections as it is important to distinguish infection from malignancy. It is crucial for physicians to be aware of the unusual presentation and ability to mimic malignancy to aid in proper diagnosis and management and therefore the prevention of unnecessary procedures including resection.
放线菌病是一种细菌感染，很少累及食管。我们的患者尽管之前上消化道内镜检查结果为阴性，但仍出现持续性急性失血性贫血和上腹部疼痛。几个月后他接受了重复内镜检查，结果显示在胃食管交界处疑似恶性食管癌；然而，活检报告显示为伴有放线菌病的慢性炎症。本报告将讨论放线菌感染的评估和处理，因为区分感染与恶性肿瘤很重要。医生必须意识到其不寻常的表现以及模仿恶性肿瘤的能力，以有助于正确诊断和处理，从而避免包括切除在内的不必要操作。
