Brunon J, Pialat J, Brun Y, Sindou M, Fischer C, Perrin G
Neurochirurgie. 1980;26(1):31-8.
The authors report four observations of actinomycotic brain abcess. One patient with multiple hemispheric abcesses and with stomatologic and pulmonary lesions, one with seemingly primary cerebellar abcess, one with associated hemispheric abcess associated with pneumopathy. About these four cases, they discuss the role of actinomycosis in infectious diseases of the central nervous system, and the elements necessary for the diagnosis. The neurological syndrom is not specific, but the discovery of visceral lesions is an excellent argument. From the histological point of view, the discovery of "granules" containing the bacteria conforms the diagnosis by special colorations. From the bacteriological point of view, the isolation of the germ is easy but its specific identification necessitates special techniques. The diagnosis of actinomycosis is indispensible to begin a correct treatment. For the authors, this treatment must associate surgical excision of the most extensive lesions and adapted antibiotherapy for more than four months.
作者报告了4例放线菌性脑脓肿的观察病例。1例患者有多个半球脓肿，伴有口腔和肺部病变；1例似乎是原发性小脑脓肿；1例伴有与肺病相关的半球脓肿。关于这4例病例，他们讨论了放线菌病在中枢神经系统感染性疾病中的作用以及诊断所需的要素。神经综合征不具有特异性，但发现内脏病变是一个有力的依据。从组织学角度来看，发现含有细菌的“颗粒”可通过特殊染色确诊。从细菌学角度来看，分离出病菌很容易，但对其进行特异性鉴定需要特殊技术。放线菌病的诊断对于开始正确治疗至关重要。对作者来说，这种治疗必须结合对最广泛病变的手术切除以及持续四个多月的适当抗生素治疗。
