PDF(Pubmed)
Abstract：
Actinomycosis is a rare chronic granulomatous disease that manifests with nonspecific symptoms of abdominal pain, anorexia, and weight loss. The disparity in the presentation of this condition presents a tremendous diagnostic challenge. There are few reports of Actinomyces species causing spontaneous bacterial peritonitis without previous localized masses or abscesses have been published. We provide a case of spontaneous bacterial peritonitis secondary to Actinomyces species in a 46-year-old woman with uterine fibroids and a lack of preceding abscess. Although rare, spontaneous bacterial peritonitis because of Actinomyces should be considered in differential in female patients without pre-existing liver disease presenting with spontaneous bacterial peritonitis.
摘要：
放线菌病是一种罕见的慢性肉芽肿性疾病，表现为腹痛的非特异性症状，厌食症,和减肥。这种情况的表现差异提出了巨大的诊断挑战。很少有关于放线菌引起自发性细菌性腹膜炎而没有先前局部肿块或脓肿的报道。我们提供了一例由放线菌继发的自发性细菌性腹膜炎的病例，该病例患有子宫肌瘤且缺乏脓肿。虽然罕见，由于放线菌引起的自发性细菌性腹膜炎应在女性患者中考虑差异，而女性患者没有先前存在的肝病并表现为自发性细菌性腹膜炎。
