一例竹鼠放线菌病的诊治

Diagnosis and Treatment of a Case of Bamboo Rat Actinomycosis

摘要:

放线菌为厌氧菌或微氧菌,是人体中的一种正常菌丛, 特别是在口腔中常可见到。若有外伤、外科手术后,也可能发生感染。由放线菌引起的慢性化脓性肉芽肿性疾病。病变好发于面颈部及胸腹部，以向周围组织扩展形成瘘管并排出带有硫磺样颗粒的脓液为特征。大剂量、长疗程的青霉素治疗对大多数病例有效，亦可选用四环素、红霉素、林可霉素及头孢菌素类抗生素；同时还需外科引流脓液及手术切除瘘管。

Abstract:

Actinomycetes are anaerobic bacteria or microaerobic bacteria, which are a normal flora in the human body. It is often seen especially in the oral cavity. Infection may also occur after trauma or surgery. Chronic pyogenic granulomatous disease caused by actinomycetes. Lesions tend to occur in the face, neck, chest and abdomen, and are characterized by expanding to the surrounding tissues to form fistulas and discharging pus with sulfurlike particles. Highdose, longcourse penicillin treatment is effective for most cases, and tetracycline, erythromycin, lincomycin, and cephalosporin antibiotics can also be used. This also requires surgical drainage of pus and surgical excision of the fistula.