Lazzaretti M G, Rosi A, Gavioli M, Castellani Tarabini C, Biagini M, Zenezini Chiozzi A, Piccagli I, Bernardelli D, Romani M
IV Divisione Chirurgia Generale, USL n. 16, Ospedale Civile, Castelfranco Emilia, Modena.
Minerva Chir. 1996 Sep;51(9):707-11.
The authors describe a case of primary abdominal actinomycosis operated on because of peritonitis sustained by a tubo-ovarian abscess. They discuss the pathogenesis of the case: the patient had been on intrauterine device contraception till two months earlier and had been operated on for breast cancer. Preoperative diagnosis is quite impossible and only the microscopic observation of the specimen can show the causative agent. Surgical options are reported, stressing the need for an adequate period of antimicrobial therapy.
作者描述了一例因输卵管卵巢脓肿引起的腹膜炎而接受手术治疗的原发性腹部放线菌病病例。他们讨论了该病例的发病机制：患者在两个月前一直使用宫内节育器避孕，并且曾接受过乳腺癌手术。术前诊断几乎不可能，只有对标本进行显微镜观察才能显示病原体。报告了手术选择，强调了进行足够疗程抗菌治疗的必要性。
