Skoutelis A, Panagopoulos C, Kalfarentzos F, Bassaris H
Department of Medicine, Medical School, University of Patras, Greece.
South Med J. 1995 Jun;88(6):647-50. doi: 10.1097/00007611-199506000-00010.
We report a case of intramural gastric actinomycosis and review the features of the additional 16 cases of this uncommon infection reported in the literature. The patient had gastrointestinal symptoms, weight loss, and fever after gastric operation. At laparotomy, an infiltrating gastric tumor-like lesion was found. Histology revealed actinomycosis, and the patient was successfully treated with oral penicillin. Because of its rarity, intramural actinomycosis is an entity overlooked by most surgeons. Reporting of such cases may help increase the awareness of this important and curable disease.
我们报告一例胃壁内放线菌病病例，并回顾文献中报道的另外16例这种罕见感染的特征。该患者在胃部手术后出现胃肠道症状、体重减轻和发热。剖腹手术时，发现一个浸润性胃肿瘤样病变。组织学检查显示为放线菌病，患者经口服青霉素成功治愈。由于其罕见性，壁内放线菌病是大多数外科医生忽视的一种疾病。报告此类病例可能有助于提高对这种重要且可治愈疾病的认识。
