Yeager B A, Hoxie J, Weisman R A, Greenberg M S, Bilaniuk L T
Arch Otolaryngol Head Neck Surg. 1986 Dec;112(12):1293-5. doi: 10.1001/archotol.1986.03780120057011.
The first case, to our knowledge, of cervicofacial actinomycosis arising in a patient with evidence of infection by the human T-cell lymphotrophic virus type III, the causal agent of the acquired immunodeficiency syndrome, is reported. Clinical uncertainty often exists in cases of actinomycosis due to the relative rarity of the disease, a clinical presentation that is compatible with a host of neoplastic and other infectious disorders, and difficulty in obtaining absolute bacteriologic documentation. Computed tomography was of interest in this case, since the radiographic findings could be correlated with pathophysiologic changes characteristic of this uncommon infection.
据我们所知，本文报告了首例发生于人类T细胞嗜淋巴细胞病毒III型（获得性免疫缺陷综合征的病原体）感染患者的颈面部放线菌病。由于放线菌病相对罕见、临床表现与许多肿瘤性疾病和其他感染性疾病相符以及难以获得绝对的细菌学证据，放线菌病病例中常常存在临床不确定性。本病例中计算机断层扫描很有意义，因为影像学表现可与这种罕见感染的病理生理变化相关联。
