Abdulkarim Aziz, Pouxe Marie, De Vallière Serge, Beigelman Catherine, Favrat Bernard, Kokkinakis Ioannis
Unisanté, Centre universitaire de médecine générale et de santé publique, 1011 Lausanne.
Service de maladies infectieuses, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Rev Med Suisse. 2022 Nov 16;18(804):2177-2180. doi: 10.53738/REVMED.2022.18.804.2177.
Actinomycosis is an uncommon disease caused by Actinomyces, a commensal of the oropharyngeal, digestive, and genital tract. Commonly, it manifests as cervicofacial infection and is often related to poor oral health, smoking, chronic alcoholism or immune deficiency. Pulmonary actinomycosis is a rare disease, characterized by unspecific clinical, biological, and radiological manifestations that may be confused with other diseases. It should always be considered in patients suspected of having tuberculosis, lung abscess or pulmonary neoplasia. We describe a case of pulmonary actinomycosis treated successfully with short-term antibiotic therapy of three months, with a short review of the literature.
放线菌病是一种由放线菌引起的罕见疾病,放线菌是口咽、消化道和生殖道的共生菌。通常,它表现为颈面部感染,常与口腔卫生差、吸烟、慢性酒精中毒或免疫缺陷有关。肺放线菌病是一种罕见疾病,其特征是临床、生物学和放射学表现不具特异性,可能与其他疾病混淆。对于疑似患有肺结核、肺脓肿或肺部肿瘤的患者,应始终考虑该病。我们描述了一例通过为期三个月的短期抗生素治疗成功治愈的肺放线菌病病例,并对相关文献进行了简要回顾。