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牙周源性肺放线菌病

Pulmonary actinomycosis of periodontal origin.

作者信息

Suzuki J B, Delisle A L

出版信息

J Periodontol. 1984 Oct;55(10):581-4. doi: 10.1902/jop.1984.55.10.581.

DOI:10.1902/jop.1984.55.10.581
PMID:6593451
Abstract

A case of pulmonary actinomycosis of periodontal origin is presented. Microbiologic testing including culture and typing of multiple systemic and oral lesions revealed the presence of Actinomyces naeslundii and A viscosus in all sites. In addition, biopsies demonstrating branching filamentous forms and "sulfur granules" were found in exudates from the lungs, submandibular region and left quadrants of the oral cavity. Seeding of tooth-associated materials containing Actinomyces sp into the pulmonary field may have resulted in this case of pulmonary actinomycosis. Therapy of the pulmonary and periodontal infections was completed and the patient is maintaining satisfactory health 18 months later.

摘要

本文报告一例源自牙周的肺放线菌病病例。包括对多个全身及口腔病变进行培养和分型的微生物学检测显示,所有部位均存在内氏放线菌和黏性放线菌。此外,在肺、下颌下区域及口腔左侧象限的渗出物活检中发现了呈分支丝状形态的组织及“硫黄颗粒”。含有放线菌属的牙源性物质播散至肺部可能导致了该例肺放线菌病。肺部和牙周感染的治疗已完成,18个月后患者健康状况良好。

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