Kron C, Camarasa P, Kron B
Centre Hospitalier Privé des Yvelines, Sartrouville.
Chirurgie. 1996;121(5):346-8; discussion 349.
Actinomycosis is a chronic infection due to an anaerobic Gram positive commensal bacteria harbored in the healthy cavities. From the main localizations in facial, respiratory and gynecology cavities, the infection can progress forming abdominothoracic or pelvis tumors simulating pseudo-neoplastic formations. Macroscopic diagnosis of this uncommon disease is difficult even intraoperatively. The extemporaneous pathology examination confirms the presence of actinomyces grains. We report two cases of abdominopelvic actinomycosis which developed on a "forgotten" intrauterine device leading to torpid severe disease. Actinomyces are sensitive to penicillin if treatment is continued for several months but infiltrations into the urinary and digestive tract may lead to fistulae and hydronephrosis.
放线菌病是一种由寄生于健康体腔的厌氧革兰氏阳性共生菌引起的慢性感染。从面部、呼吸道和妇科体腔的主要发病部位来看，感染可进展形成模拟假性肿瘤形成的腹胸或盆腔肿瘤。即使在手术中，对这种罕见疾病进行宏观诊断也很困难。术中病理检查证实存在放线菌颗粒。我们报告两例腹盆腔放线菌病病例，它们发生在一个“被遗忘”的宫内节育器上，导致了隐匿性重症疾病。如果持续治疗数月，放线菌对青霉素敏感，但侵入泌尿和消化道可能导致瘘管和肾积水。
