腹部行动性菌根症的病例系列:一个古老的诊断难题
Firas Ayoub1,2, Amani Asour3,4, Anur Miah5
1General and Colorectal Surgery, Medway Maritime Hospital, Gillingham, GBR.
Cureus
|October 21, 2024
概括
腹部动性菌,一种罕见的细菌感染,经常模仿其他疾病,如尾炎或恶性瘤. 诊断需要组织学,因为成像和手术发现可能是误导性的,但抗生素治疗产生了良好的结果.
科学领域:
- 医学微生物学 医学微生物学
- 手术病理学手术病理学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 腹部动因菌是一种罕见的细菌感染,由Actinomyces物种引起.
- 它经常呈现出不特定的症状和成像发现,可以模仿其他腹部病理,包括恶性瘤.
研究的目的:
- 报告一个病例系列,两名患者患有腹部动态菌症.
- 突出诊断挑战和初步评估与最终组织学诊断之间的差异.
主要方法:
- 关于两名患有腹部动因菌症的患者的病例报告.
- 诊断工作包括计算机断层扫描 (CT),磁共振成像 (MRI) 和超声波 (美国).
- 外科干预包括诊断性腹腔镜和腹腔镜右半角切除术;组织学检查证实了诊断.
主要成果:
- 两位患者都呈现出症状和成像发现,这些发现表明其他疾病,如急性尾炎,炎症质量或瘤过程.
- 组织学检查对于诊断形虫病至关重要,它揭示了与初始差异诊断和手术内发现的不匹配.
- 这两位患者在诊断后接受了长期抗生素治疗后反应良好.
结论:
- 腹腔动因菌症由于异型症状和可模仿恶性瘤的成像,因此存在诊断挑战.
- 组织学确认对于准确的诊断至关重要,尽管与放射学和手术发现可能存在差异.
- 及时的抗生素治疗会导致腹部动性菌症的良好结果.
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