Actinomycosis of the head and neck.
Actinomycosis of the head and neck.
复制标题
头颈部放线菌病。
DOI：
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发表时间：
1979
期刊：
影响因子：
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通讯作者：
S. Coulthard
中科院分区：
文献类型：
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作者：
W. Richtsmeier;Michael E. Johns;S. Coulthard
已知放线菌病几乎累及身体的每一个解剖部位；那些涉及头部和颈部的感染将被复习。头颈部的放线菌病有许多表现，它可能伪装成肿瘤或表现为引流性脓肿，但未能揭示其病因。随着最近对厌氧菌检测的更多关注，特别是在颈面区域，这种诊断被更频繁地做出。在这篇综述中，将讨论放线菌的细菌学，包括它的分类、形态、生长要求和生物化学的综述。向处理这种标本的临床医生和实验室人员提出建议，以便他们能够获得最大限度的信息。此外，还将对模拟或伴随放线菌病的感染进行综述。将深入讨论这种感染的诊断和处理，包括体检、X光和实验室检查，以及标本的收集和处理，以及手术和抗生素治疗。临床表现的多样性和他们的鉴别诊断被用来说明这种疾病的复杂性。
Actinomycosis has been known to involve virtually every anatomic site in the body; those infections involving the head and neck will be reviewed. Actinomycosis of the head and neck has many presentations; it may disguise itself as a tumor or present as a draining abscess which has failed to reveal an infectious agent as its etiology. With more recent attention directed toward the detection of anaerobic organisms especially in the cervicofacial region, this diagnosis is being made more frequently. In this review, a discussion of the bacteriology of Actinomyces, including a review of its taxonomy, morphology, growth requirements, and biochemistry, will be presented. Recommendations are made to clinicians and laboratory personnel who handle such specimens in order that they might obtain maximum information. In addition, infections which mimic or accompany actinomycosis will be reviewed. The diagnosis and management of this infection, including the physical exam, X-ray and laboratory tests, and collection and handling of specimens, as well as the surgical and antibiotic therapy will be discussed in depth. The variety of clinical presentations with their differential diagnosis is used to illustrate the complexity of this disease.