Bartels L J, Vrabec D P
Arch Otolaryngol. 1978 Dec;104(12):705-8.
Actinomycotic infections are unusual, but the actual incidence is likely to be significantly higher than records indicate. The disease may complicate trauma of many types to the respiratory and digestive tracts, including operative procedures. This possibility should encourage more frequent use of anaerobic cultures in inflammatory diseases, particularly posttraumatic, and should prompt consideration of actinomycosis in the differential diagnosis of infections, especially in the cervicofacial area. We report four cases that demonstrate the variable course of this infection. Treatment is highly successful with appropriate use of antibiotics and surgery. A plea is made to use the least expensive, effective antibiotic in view of the prolonged course of therapy that is necessary to eradicate this infection.
放线菌感染并不常见，但实际发病率可能远高于记录显示的水平。该疾病可能会使包括手术操作在内的多种类型的呼吸道和消化道创伤复杂化。这种可能性应促使在炎症性疾病（尤其是创伤后疾病）中更频繁地使用厌氧菌培养，并应在感染的鉴别诊断中，特别是在颈面部区域的感染鉴别诊断中，促使考虑放线菌病。我们报告了四例病例，展示了这种感染的不同病程。通过适当使用抗生素和手术，治疗非常成功。鉴于根除这种感染所需的疗程较长，我们呼吁使用最便宜、有效的抗生素。
