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頁籤選單縮合
題名 | 兒童深頸部膿瘍併放射菌感染--病例報告=Pediatric Deep Neck Abscess with Actinomycosis--Case Report |
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作者 | 謝明容; 蘇志英; 李明謙; 李忠成; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 35:1 民89.01-02 |
頁次 | 頁75-78 |
分類號 | 417.621 |
關鍵詞 | 深頸部膿瘍; 放射菌感染; 穿刺傷; Deep neck abscess; Actinomycosis; Penetrating injury; |
語文 | 中文(Chinese) |
中文摘要 | 深頸部放射菌感染一般好發於30至40歲中年男性,尤以口腔衛生不良或口腔曾受傷者為多,而穿刺傷引起的頸部膿瘍合併放射菌感染之孩童病例則頗為少見。臨床上深頸部放射菌感染表現非常多樣化,加以一般常規的細菌培養不易生長,故確定診斷有賴病理學檢查。一般早期診斷出放射菌感染並給予長期penicillin治療,預後良好甚少復發,在此提出一例罕見的兒童頸部異物導致膿瘍經由組織切片染色證實為放射菌感染之病例。 |
英文摘要 | Deep neck infection with actinomycosis usually occurs in men 30 to 40 years of age. It is less commonly seen in the pediatric population. Individuals who have had a previous oral trauma or poor oral hygiene are at higher risk. Unawareness of this disease entity is often due to the variations in the clinical manifestations. Because routine microorganism culture is inefficient for Actinomyces. a confirmed diagnosis is usually based on pathology-ical examination. An early diagnosis and the long-term use of penicillin treatment are uaually effective with a low incidence of recurrence. In this report we present a 5 year-old boy with a manifestation of deep neck abscess with actinomycosis caused by a previous penetrating injury, which was successfully treated with surgical debridement and peni-cillin G sodium 300000 unit/kg/day. After surgery, there has been no sign of recurrence. Thus, actinomycosis should be taken into consideration during clinical assessment of patients who have had chronic formation of neck abscess secondary to a mucosal penetrate-ing injury. Apart from the routine microorganism culture, supplementary pathological examination on the specimen might prove to be valuable in complementing this rare diag-nosis. |
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