Image Gallery: Actinomycetoma caused by Gordonia terrae in an immunocompetent woman
Image Gallery: Actinomycetoma caused by Gordonia terrae in an immunocompetent woman
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图片库：免疫功能正常的女性体内由大地戈登引起的放线菌瘤
DOI：
10.1111/bjd.16728
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发表时间：
2018-08
影响因子：
10.3
通讯作者：
Qiao J.
中科院分区：
文献类型：
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作者：
Wang S.;Yang Q.;Ye H.;Si Z.;Zhao H.;Qiao J.
亲爱的编辑，一位42岁的免疫功能正常的女性，左脚有一个缓慢生长的肿块，病史1年。组织学显示丝状生物和颗粒的团块，后者被基质包围（B）。活检组织培养物生长革兰氏阳性戈登氏菌（也称为戈登氏菌）（c，d），这通过16S rRNA测序证实。磁共振成像显示蜂窝织炎，但不累及骨骼（e）。诊断为放线菌瘤。经阿莫西林和克拉维酸治疗3个月后，病变消退（f）。真菌瘤，通常发生在足部，是由真菌（真菌瘤）或细菌（放线菌瘤）引起的慢性、进行性破坏性肉芽肿感染。G.铽在环境中普遍存在，并且通常与土壤和水分离。放线菌瘤由G.很少有报道。G.铽可在皮肤组织中产生苍白颗粒。戈登氏菌、诺卡氏菌、红球菌和分枝杆菌在涂片显微镜下很容易被误认，因为它们都是放线菌。单用抗菌药物治疗在大多数患者中会产生良好的反应。S .王琦杨洪YE Z . S1 1
DEAR EDITOR, A 42-year-old immunocompetent woman presented with a 1-year history of a slowly growing mass on her left foot (a). Histopathology showed clumps of filamentous organisms and grains, the latter surrounded by matrix (b). Biopsy tissue culture grew Gram-positive Gordonia (also known as Gordona terrae) (c, d), which was confirmed by 16S rRNA sequencing. Magnetic resonance imaging demonstrated cellulitis without involving the bone (e). A diagnosis of actinomycetoma was made. The lesion was resolved after being treated with amoxicillin and clavulanic acid for 3 months (f). Mycetomas, commonly occurring on the foot, are chronic, progressively destructive, granulomatous infections caused by fungi (eumycetoma) or bacteria (actinomycetoma). G. terrae is ubiquitous in the environment and often isolated from soil and water. Actinomycetoma caused by G. terrae is very rarely reported. G. terrae can produce pale grains in cutaneous tissue. Gordonia, Nocardia, Rhodococcus and Mycobacterium can easily be misidentified on smear microscopy because they are all actinomycetes. Antimicrobial therapy alone will result in a good response in most patients. S . WANG Q. YANG H. YE Z . S I 1
DOI：
10.1016/j.jhsb.2003.09.011
发表时间：
2004-04-01
期刊：
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
影响因子：
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作者：
Bakker, XR;Spauwen, PHM;Dolmans, WMV
通讯作者：
Dolmans, WMV