摘要
收集4例口腔颌面部放线菌病,结合文献复习,讨论了本病的临床病理学特点。本组4例病变中均可见硫磺颗粒的存在,并经特殊染色证明为放线菌。本病常继发有其他细菌感染,应注意加以鉴别。持续大剂量投用青霉素为治疗的首选方案。必要时可采取外科治疗手段。
Four cases of actinomycosis in oral and maxillofacial region were collected in the paper. It suggests that actinomycosis is a chronic inflammatory and granulomatesa disease caused by Actinomyces israelii. The lesion may eceur on any site of whole body, but the face and neck is most favorable. There is local swelling with sinus formation in the lesion area. The abscess forms in centre of the lesion. Microscopically, blue becteria mass may be seen in the pus. They appear as a tangled mass of filaments surrounded by radiating projections known as 'clubs'. 'Sulfur granules' can be seen in the 4 cases of the group and was manifested by special stain that it is actinomyces. Its differential diagnosis sould be noted, because other anaerobic bacteria are usually also present. Choice of first treatment is that great dose of panicillin should be used continuously.
出处
《中国医科大学学报》
CAS
CSCD
1992年第4期265-267,共3页
Journal of China Medical University
关键词
口腔
颌面部
放线菌病
oral cavity
maxillofacial region
actinomycosis
actinomyces israelii
