Choudat D, de Gramont A, Bellamy J, Haas C, Choubrac P
Rev Fr Mal Respir. 1980;8(5):367-70.
The occurrence of actinomycosis localized in former tuberculosis cavities in a 39-year-old woman is reported. Exeresis of the lesions allowed the discovery of Actinomyces israelii in one of the cavities which no longer communicated with the bronchial tree. In contrast to diffuse actinomycosis found in immuno-depressed patients, this form of the disease was localized in a woman in good health. A decrease of pulmonary defense mechanisms could be involved locally. The infrequency of a tuberculosis-actinomycosis sequence, contrary to aspergilloma, is perhaps due to the anaerobic metabolism of the Actinomyces.
报道了一名39岁女性放线菌病局限于既往结核空洞内的病例。病变切除后,在其中一个不再与支气管树相通的空洞内发现了以色列放线菌。与免疫抑制患者中发现的播散性放线菌病不同,这种疾病形式发生在健康状况良好的女性身上。肺部防御机制的降低可能局部参与其中。与曲菌球相反,结核-放线菌病序列罕见,这可能是由于放线菌的无氧代谢所致。