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頁籤選單縮合
題 名 | 頦下部放線菌症--病例報告=Actinomycosis of Submental Region--A Case Report |
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作 者 | 蔡百泰; 陳元武; 李曉屏; 施嘉霖; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 25:1 2014.03[民103.03] |
頁 次 | 頁42-49 |
分類號 | 416.21 |
關鍵詞 | 放線菌症; 頸部顏面部; 硫磺顆粒; 頸部淋巴病灶; Actinomycosis; Cervicofacial; Sulfur granule; Neck lymphadenopathy; |
語 文 | 中文(Chinese) |
中文摘要 | 放線菌症是一種罕見的慢性化膿性細菌感染,大部分病例報告中以頸部顏面區最常見。致病菌以Actinomyces israelii為主,典型臨床症狀有頸部顏面區疼痛、軟組織腫脹、瘻管形成合併黃色濃液滲出,膿液中通常可發現硫磺顆粒堆積。若僅以臨床症狀、血液檢查甚至放射線檢查等確定診斷不易,必須加上細胞型態學檢查、細菌培養甚至連鎖聚合脢反應的証據。治療上以保守性治療為主,首選投予盤尼西林類抗生素一至數月,必要時合併手術清創引流。本科於2011年初經歷一頦下部放線菌症合併頸部淋巴病灶病例,其臨床表徵近似頸部腫瘤,特提出報告以提供類似病例治療上之參考。 |
英文摘要 | Actinomycosis is a rare, chronic and suppurative bacterial infection. Among the reported cases, cervicofacial regions are most frequently reported. The infection is caused mainly by the gram positive, anaerobic or fulcutative bacteria-Actinomyces israelii. Typical symptoms include pain, soft tissue swelling, fistula formation and yellowish pus discharge. Sulfur granule can be seen through the discharge and is characteristic for this disease. It is hard to make definitive diagnosis through clinical symptoms, laboratory and radiographic examination. Cytologic morphology, bacterial culture and polymerase chain reaction can provide better evidences for diagnosis, Antibiotic treatment for one to several months, especially penicillin, is the main stream of treatment modality, Surgical approach is combined with antibiotics when necessary, We present a case with actinomycosis of submental region and neck lymphadenopathy in 2011. The clinical manifestations are similar to unknown neck mass which lead us to approach surgically. We hope this report could provide some value for differential diagnosis of unknown neck mass. |
本系統中英文摘要資訊取自各篇刊載內容。