Hadary A, Lernau O Z, Nissan S
Z Kinderchir. 1986 Aug;41(4):239-40. doi: 10.1055/s-2008-1043350.
Abdominal actinomycosis seldom occurs before puberty. The symptomatology of abdominal actinomycosis is non-specific and the diagnosis is difficult to make. Previously, this condition was associated with a high mortality rate. The following patient had a flank abscess due to actinomycosis as a late complication of perforated appendix which was diagnosed by biopsy and culture. The patient responded to a prolonged course of chemotherapy with intravenous penicillin and metronidazole. This case illustrates the problems encountered in the diagnosis and management of childhood actinomycosis.
腹部放线菌病很少在青春期前发生。腹部放线菌病的症状不具有特异性，诊断困难。以前，这种疾病的死亡率很高。以下患者因阑尾穿孔的晚期并发症出现放线菌病引起的胁腹脓肿，通过活检和培养得以诊断。该患者对静脉注射青霉素和甲硝唑的长期化疗疗程有反应。本病例说明了儿童放线菌病在诊断和治疗中遇到的问题。
