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免疫功能正常患者食管放线菌病酷似癌:病例报告

Esophageal Actinomycosis in an Immunocompetent Patient Mimicking Carcinoma: A Case Report.

机构信息

Department of Gastroenterology, Kathmandu Medical College Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Vayodha Hospitals Private Limited, Balkhu, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Jun 1;60(250):559-561. doi: 10.31729/jnma.7354.

Abstract

UNLABELLED

Esophageal actinomycosis is a rare occurrence that presents a diagnostic challenge due to its vague clinical picture. The common symptoms include dysphagia, odynophagia and epigastric pain. These symptoms, although alarming, are usually non-specific. In this report, we describe an immunocompetent 38-year-old woman who presented with dysphagia and burning chest pain. Her initial examination and investigations suggested carcinoma of the oesophagus. On further evaluation and histopathology examination, she was diagnosed with esophageal actinomycosis and managed with antibiotics and symptomatic relief. She had significant improvement on follow up examination. The diagnosis of this condition in an immunocompetent patient can be confusing and requires a high degree of suspicion.

KEYWORDS

actinomycosis; carcinoma; case reports; esophagus.

摘要

未加标签

食管放线菌病是一种罕见的疾病,由于其模糊的临床表现,诊断具有挑战性。常见症状包括吞咽困难、咽痛和上腹痛。这些症状虽然令人警惕,但通常是非特异性的。在本报告中,我们描述了一位免疫功能正常的 38 岁女性,她出现吞咽困难和胸骨后疼痛。她的初步检查和检查结果提示食管癌。进一步评估和组织病理学检查后,她被诊断为食管放线菌病,并接受了抗生素和对症治疗。随访检查时她有明显改善。在免疫功能正常的患者中诊断这种疾病可能会令人困惑,需要高度怀疑。

关键词

放线菌病;癌;病例报告;食管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e92/9275468/579c1d34b4c6/JNMA-60-250-559-g1.jpg

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