Gaffney R, Harrison M, Walsh M, Sweeney E, Cafferkey M
Department of Otolaryngology, Trinity College, Dublin, Ireland.
Clin Otolaryngol Allied Sci. 1993 Aug;18(4):268-71. doi: 10.1111/j.1365-2273.1993.tb00845.x.
Although actinomyces has been identified in between 1.77% and 37% of resected tonsils its possible role in recurrent acute tonsillitis has received little attention. A histological and bacteriological study of 129 pairs of tonsils from patients with recurrent acute tonsillitis showed actinomyces to be present in 29.5%. The organism, however, was also present in 40% of tonsils from 10 patients with no history of tonsillar disease. In neither of these groups was there any specific evidence of tissue reaction to actinomyces nor was there a male preponderance as in clinical actinomycosis. The presence of actinomyces in the tonsil was not favoured by the concurrence of beta-lactamase producing bacteria. These data indicate that actinomyces does not have a causal role in recurrent acute tonsillitis.
尽管在1.77%至37%的切除扁桃体中已鉴定出放线菌，但其在复发性急性扁桃体炎中的可能作用却很少受到关注。一项对129例复发性急性扁桃体炎患者的扁桃体进行的组织学和细菌学研究表明，放线菌的存在率为29.5%。然而，在10例无扁桃体疾病史患者的扁桃体中，该菌的存在率也为40%。在这两组中，均未发现对放线菌有组织反应的具体证据，也没有临床放线菌病中常见的男性居多的情况。扁桃体中放线菌的存在并不因产β-内酰胺酶细菌的同时存在而更易发生。这些数据表明，放线菌在复发性急性扁桃体炎中不具有因果作用。
