Ellis L R, Kenny G M, Nellans R E
J Urol. 1979 Jul;122(1):132-3. doi: 10.1016/s0022-5347(17)56286-2.
Urogenital actinomycosis has always been a rare entity, limited to a few cases in any series. Treatment is highly successful but diagnosis remains elusive owing to low incidence, variable clinical picture, and biopsy and culture uncertainties. The general incidence of actinomycosis is believed to be decreasing in recent years but many infections may go undiagnosed while being suppressed or cured by conventional antibiotic therapy given for other resons. Our incidence of 4 cases of genitourinary and abdominal actinomycosis occurring in a 1-year period is highly unusual but the reasons remain speculative. Prior operation, abortion and induced infection via an intrauterine device were probably contributory. Whatever the case, if our experience is shared by others, genitourinary actinomycosis deserves more prominent diagnostic consideration in the future.
泌尿生殖系统放线菌病一直是一种罕见疾病，在任何病例系列中都仅有少数病例。治疗成功率很高，但由于发病率低、临床表现多样以及活检和培养结果不确定，诊断仍然困难。近年来，放线菌病的总体发病率据信在下降，但许多感染可能在因其他原因接受常规抗生素治疗而得到抑制或治愈的同时未被诊断出来。我们在1年时间内出现4例泌尿生殖系统和腹部放线菌病的发病率非常罕见，但其原因仍只是推测。既往手术、流产以及通过宫内节育器引起的感染可能是促成因素。无论如何，如果其他人也有类似经历，那么泌尿生殖系统放线菌病在未来应得到更突出的诊断考量。
