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一例老年患者并发胃腺癌的肺放线菌病病例。

A Case of Pulmonary Actinomycosis With Concurrent Gastric Adenocarcinoma in an Older Adult.

作者信息

Zhang Ning, Liu Changyi, Kang Lin, Zhou Jianfeng, Liu Wenjing, Qu Xuan

机构信息

Department of Geriatrics, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, CHN.

Department of Internal Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, CHN.

出版信息

Cureus. 2024 May 13;16(5):e60180. doi: 10.7759/cureus.60180. eCollection 2024 May.

Abstract

Actinomycosis is a chronic granulomatous disease that can affect various parts of the body, including the head and neck, lungs, abdominal and pelvic cavities, and wounds. It is caused by different actinomycetes like , , , , and . Reported infections caused by actinomycetes include pulmonary actinomycosis, pelvic and abdominal infections, bone or artificial joint infections, endocarditis, complicated urinary tract infections, and soft tissue abscesses. The combination of pulmonary actinomycosis with gastric cancer is exceptionally rare in clinical practice, and the presence of actinomycetal infection alongside tumors in elderly patients poses significant challenges in treatment. This article presents the diagnosis and treatment process of an elderly patient with pulmonary actinomycosis and gastric adenocarcinoma.

摘要

放线菌病是一种慢性肉芽肿性疾病,可累及身体各个部位,包括头颈部、肺部、腹腔和盆腔以及伤口。它由不同的放线菌引起,如[此处原文缺失具体放线菌名称]、[此处原文缺失具体放线菌名称]、[此处原文缺失具体放线菌名称]、[此处原文缺失具体放线菌名称]和[此处原文缺失具体放线菌名称]。放线菌引起的感染报道包括肺放线菌病、盆腔和腹腔感染、骨或人工关节感染、心内膜炎、复杂性尿路感染和软组织脓肿。肺放线菌病合并胃癌在临床实践中极为罕见,老年患者肿瘤并存放线菌感染给治疗带来重大挑战。本文介绍了一位老年肺放线菌病合并胃腺癌患者的诊断和治疗过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0557/11091935/0e043cdd6df0/cureus-0016-00000060180-i01.jpg

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