PRIMARY CUTANEOUS ACTINOMYCOSIS: WITH A NOTE ON THE BACILLUS ACTINOMYCETEM COMITANS.
PRIMARY CUTANEOUS ACTINOMYCOSIS: WITH A NOTE ON THE BACILLUS ACTINOMYCETEM COMITANS.
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原发性皮肤放线菌病：附有有关芽孢杆菌放线菌的注释。
DOI：
10.1111/j.1365-2133.1934.tb11118.x
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发表时间：
1934
影响因子：
10.3
通讯作者：
R. Klaber
中科院分区：
文献类型：
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作者：
R. Klaber
1878年，伊斯雷尔描述了人类的第一例放线菌病，他观察到脓瘤脓液中的放线菌，并获得了一种厌氧培养物，他将其称为牛放线菌。Maiocchi（2）（1882）通常被认为是第一个对原发性皮肤放线菌的描述，但他的描述使人们对这种情况的真实性质产生了一些疑问。1886年，Partseh描述了一例因乳腺癌而截肢后，瘢痕中发生的原发性皮肤放线菌病。同年，Sliirnier（^）描述了一个可能是皮肤源性的颌骨病变病例。“原发性皮肤放线菌病”的描述应限于那些可排除从邻近粘膜或全身感染传播的皮肤炎病例。在这些病例中，通常有外伤史，在随后的病变部位，外伤往往具有特殊性质。除了劳伯（Rauber）1925年从大陆文献中收集的五十六例病例之外，我在英国文献中只找到了五例（*“^”·«），在美国文献中找到了三例（“”»“），在意大利文献中找到了一例（”2“），在法国文献中找到了一例（”^3“）。其他几个参考文献被发现的情况下，描述为primarilv皮肤，其中这种病变可能是继发于更常见的感染，口腔，肺，或肠道。然而，真正的原发性病变可能并不像这些数字所显示的那样罕见。下面描述另一个病例，该病例于1933年1月19日提交给皇家医学会诊断科。
IN 1878 Israel{*) described the first case of acfcitiomvcosis in man. He observed the ray-ftmgus in empyoma pus and obtained an atiaerobic culture, which he described as Actinomyces bovis. Maiocchi(2) (1882) is usually credited witlt the first account of primarv cutaneous actinomycoHis, but his description leaves some doubt as to the true nature of this case. In 1886 Partseh{^) described a case of primary cutaneous actinomycosis occurring in the scar, following amputation of the breast for carcinoma. In the same year Sliirnier(^) described a case afEecting the jaw which was possibly of cutaneous origin. The description of ' 'primary cutaneous actinomycosis" should be restricted to those cutaneotis cases in which spread from a neiglibotiring mucous membrane or from systemic infection may be excluded. There is in these cases usually a history of trauma, which is often of a special character, at the site of the subsequent lesion. I have been able to find records of only five such cases in British literature(*' ^'• «), three American cases (» '» »), one Italian ('2) and one French(^3), in addition to the fifty-six cases collected from continental literature by Rauber('*) in 1925. Several other references are to be found to cases described as primarilv cutaneous, in which such lesions were probably secondary to the more common infections of mouth, lungs, or intestines. Nevertheless, it is probable that the true primary lesions are rather less rare than these figures would seem to indicate, Aftirther case is described below, which was shown before the Dcrmatological Section of the Royal Society of iMedicine on Jantmry I9th, 1933,*