Legum L L, Greer K E, Glessner S F
South Med J. 1978 Apr;71(4):463-5.
A case of pulmonary actinomycosis with dissemination to skin, subcutaneous tissue, and bone is described. The cutaneous lesions were characterized by tender swellings and fluctuant nodules and were the presenting manifestation of the disease. Typical sulfur granules were present in the skin and pleural biopsies. Actinomyces israelii and its synergistic bacteria Actinobacillus actinomycetemcomitans were cultured from skin and pleura. Clinical improvement, with resolution of lung and disseminated skin lesions, was prompt with parenteral penicillin therapy.
本文描述了一例肺放线菌病扩散至皮肤、皮下组织和骨骼的病例。皮肤病变的特征为压痛性肿胀和波动感结节，是该疾病的首发表现。皮肤和胸膜活检中存在典型的硫黄颗粒。从皮肤和胸膜中培养出以色列放线菌及其协同细菌伴放线放线杆菌。经胃肠外青霉素治疗后，肺部和播散性皮肤病变迅速消退，临床症状改善。
