- 期刊
Primary Cutaneous Actinomycosis of an Extremity: A Case Report
原發性下肢放線菌症：一病例報告
摘要
放線菌症(actinomycosis)是一種慢性的化膿性和肉芽腫性傳染病，可能爲局部或全身性。其致病菌是屬於革蘭氏陽性、非抗酸性、厭氣性兼微好氣菌，是口腔中的正常菌叢。臨床上最常感染之部位爲頸面部、胸部，腹部和骨盆腔。原發性肢體放線菌症在臨床上並不多見，其臨床表現與一般細菌感染雷同因而容易被忽略。此報告病例爲一位65歲男性，爲右下肢反覆性化膿性傷口所困擾。經外科手術切除，病理報告證實爲放線菌病。可能的感染來源爲病患習慣性的使用口水塗抹傷口，將口腔內放線菌帶至傷口所致。
關鍵字
無資料並列摘要
Primary cutaneous actinomycosis of the extremity is very uncommon and can easily be regarded as ordinary soft tissue infection. Herein, a case of 65-year-old man with primary cutaneous actinomycosis at his lower extremity, probably after direct inoculation of the microorganism from his saliva into a preceding wound in extremity, was reported. He was treated successfully with surgical excision combined with extended period of antimicrobial treatment.
延伸閱讀
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