放线菌病是一种罕见的传染病,其特征是缓慢进展,慢性化脓性病变,经常被误认为是恶性肿瘤,因为它有能力模仿它们。它是由放线菌引起的,它们是人类口咽正常菌群的一部分,胃肠,和泌尿生殖道.该病例报告描述了一名51岁的男性,有下颌横纹肌肉瘤病史,表现为严重的肩和髋部疼痛,吞咽困难,头痛,最初怀疑是癌症复发。然而,经过进一步调查,包括PET-CT和扁桃体切除术,通过组织病理学检查证实了放线菌病的诊断。该病例突出了放线菌病的诊断挑战,尤其是有复杂临床病史的患者,强调在类似的介绍中将其视为鉴别诊断的重要性。患者接受长期抗生素治疗,主要是β-内酰胺,证明了全面诊断方法的必要性以及延迟诊断的含义。该病例强调了医疗保健专业人员对放线菌病模仿更常见疾病的可能性的高度临床怀疑和认识的迫切需要。确保及时准确的治疗。
Actinomycosis is a rare infectious disease characterized by slowly progressive, chronic suppurative lesions, often mistaken for malignancies due to its ability to mimic them. It is caused by Actinomyces bacteria, which are part of the normal flora of the human oropharynx, gastrointestinal, and urogenital tracts. This
case report describes a 51-year-old male with a history of mandibular rhabdomyosarcoma presenting with severe shoulder and hip pain, dysphagia, and headaches, initially suspected to be a cancer recurrence. However, after further investigation, including a PET-CT and tonsillectomy, the diagnosis of actinomycosis was confirmed through histopathological examination. The
case highlights the diagnostic challenges of actinomycosis, especially in patients with complex clinical histories, emphasizing the importance of considering it as a differential diagnosis in similar presentations. The patient was treated with long-term antibiotic therapy, predominantly beta-lactams, demonstrating the necessity of a comprehensive diagnostic approach and the implications of a delayed diagnosis. This
case underscores the critical need for high clinical suspicion and awareness among healthcare professionals regarding the potential for actinomycosis to mimic more common diseases, ensuring timely and accurate treatment.