Primary Actinomycosis of the Greater Omentum: Report of a Case

放射線菌病主要是由一種存在人體口腔、鼻咽部及腸胃道的正常腐物寄生菌（以色列放射線菌）感染所形成的化膿性肉芽腫疾病。在大部分產生腹部感染的病例中，先前都有著因為手術、創傷或是發炎後造成腸胃道黏膜穿孔的情形。然而單一只發生在大網膜上放射線菌感染的情形是極為罕見的。本篇提出的病例為一免疫機能不全的64歲女性，此病患得到了大網膜上的放射線菌病，而在檢查中並未發現腹部內有著其它中空器官或是實質器官的感染。患者在接受網膜切除手術及長期的抗生素治療後復原情況良好。目前的文獻報告中，此病人為第七個被提出的病例，在腹部的放射線菌病可經由手術完全移除病灶而不需要施行截腸手術。大多數感染放射線菌病的病患可經由適當的外科引流或是切除和積極長期的抗生素治療而達到治癒的效果。

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並列摘要

Actinomycosis is a granulomatous suppurative disease caused mainly by Actinomyces israelii which is a normal saprophyte of the oral cavity, nasopharynx and gastrointestinal tract. In most instances, the onset of abdominal disease is preceded by an antecedent surgical, traumatic or inflammatory incident resulting in the perforation of the mucosa of the gastrointestinal tract. Isolate actinomycosis of the greater omentum is extremely rare. We report a 64-year-old female patient, who was suspected as being an immune incompetent individual and developed an actinomycosis of the greater omentum without other hollow or solid organ involvement. Omentectomy was performed and prolonged antibiotic therapy was given. She recovered well after treatment. To the best of our knowledge, this is the seventh report of omental actinomycosis not requiring resection of the intestine for the total removal of the disease tissue. Adequate surgical drainage or excision and intensive prolonged antibiotic therapy provide a cure in most cases.

並列關鍵字

greater omentum ； actinomycosis

國際替代計量

Primary Actinomycosis of the Greater Omentum: Report of a Case

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