Bezes H, Courbil L J, Morin P G, Beaumont R
Med Trop (Mars). 1979 Jan-Feb;39(1):41-51.
The authors report their own experience from 200 cases and they consider the matter from the point of a surgeon operating in a small medical unit in Africa. The clinical and biological aspects are described; the importance and the difficulties of appreciating the real spreading of infection are emphasized. Conventional radiology is of major value. The biological diagnosis may give way to a medical treatment with DDS and sulfamethoxypyridazine in cases due to actinomycetes with red or yellow granules; but in fungic cases fungicid drugs proved to be inefficient. Surgery is still an important component of the treatment. Its tactics are discussed according to the germ, the localization, the extension and also to the social and psychological status, but it is hoped that more sanitary education will reduce its preponderence in making possible earlier diagnosis and treatment.
作者报告了他们对200个病例的经验，并从一名在非洲小型医疗单位工作的外科医生的角度来考虑这个问题。文中描述了临床和生物学方面的情况；强调了评估感染实际扩散情况的重要性和困难。传统放射学具有重要价值。对于由放线菌引起且有红色或黄色颗粒的病例，生物学诊断可能会让位于使用氨苯砜和磺胺甲氧嗪进行药物治疗；但在真菌病例中，抗真菌药物被证明无效。手术仍然是治疗的重要组成部分。根据病菌、病变部位、病变范围以及社会和心理状况讨论了手术策略，但希望更多的卫生教育能降低手术的主导地位，以便能够更早地进行诊断和治疗。
