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儿童肺部放线菌病:及时诊断可避免手术

Pulmonary Actinomycosis in Children: A Prompt Diagnosis Can Prevent Surgery.

作者信息

Raj Prince, Shankar Raghu, Alawadi Mohamed Amin, Corbally Martin

机构信息

Department of General Surgery, Division of Paediatric Surgery, King Hamad University Hospital, Busaiteen, Bahrain.

出版信息

J Indian Assoc Pediatr Surg. 2023 Nov-Dec;28(6):526-528. doi: 10.4103/jiaps.jiaps_86_23. Epub 2023 Nov 2.

DOI:10.4103/jiaps.jiaps_86_23
PMID:38173643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10760624/
Abstract

Pulmonary actinomycosis is an extremely rare disease in children. The diagnosis is challenging as the clinical presentation and radiological investigations may be atypical. We report a case of a pulmonary lesion extending to the chest wall posing as a malignant lesion. Biopsy revealed colonies of . Antibiotic therapy resolved the mass. A rare diagnosis of pulmonary actinomycosis should be kept as a differential diagnosis of such a mass in children.

摘要

肺放线菌病在儿童中是一种极其罕见的疾病。由于临床表现和影像学检查可能不典型,诊断具有挑战性。我们报告一例肺部病变延伸至胸壁,疑似恶性病变的病例。活检发现了……菌落。抗生素治疗使肿块消退。对于儿童此类肿块,应将罕见的肺放线菌病诊断作为鉴别诊断之一。 (原文此处“Biopsy revealed colonies of.”不完整,缺少具体内容)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b54/10760624/fbd106ce4741/JIAPS-28-526-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b54/10760624/61590884ef98/JIAPS-28-526-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b54/10760624/fbd106ce4741/JIAPS-28-526-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b54/10760624/61590884ef98/JIAPS-28-526-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b54/10760624/fbd106ce4741/JIAPS-28-526-g002.jpg

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Pulmonary Actinomycosis in Children: A Prompt Diagnosis Can Prevent Surgery.儿童肺部放线菌病:及时诊断可避免手术
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本文引用的文献

1
Pulmonary actinomycosis.肺放线菌病
Eur Respir J. 2003 Mar;21(3):545-51. doi: 10.1183/09031936.03.00089103.
2
Disseminated infection due to Actinomyces meyeri: case report and review.迈耶放线菌引起的播散性感染:病例报告及文献复习
Clin Infect Dis. 1996 Apr;22(4):621-5. doi: 10.1093/clinids/22.4.621.
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Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases.放线菌病:诊断与治疗考量及32例病例回顾
Laryngoscope. 1984 Sep;94(9):1198-217. doi: 10.1288/00005537-198409000-00013.
4
A study of 57 cases of actinomycosis over a 36-year period. A diagnostic 'failure' with good prognosis after treatment.一项对57例放线菌病患者长达36年的研究。诊断“失败”,但治疗后预后良好。
Arch Intern Med. 1975 Dec;135(12):1562-8.