Resumo
定义
病史和体格检查
关键诊断因素
- presença de fatores de risco
- edema de tecidos moles
其他诊断因素
- diversos tratos sinusais
- descoloração da pele
- dificuldades de mastigação
- sintomas constitucionais
- alteração nos hábitos intestinais
- desconforto abdominal
- náuseas e vômitos
- sensação de massa abdominal
- sangramento ou corrimento vaginal
- tosse produtiva ou seca
- expectoração raiada de sangue
- dispneia
- dor torácica
- defeitos neurológicos focais
危险因素
- sexo masculino
- lesão ou inflamação da cavidade oral
- diabetes mellitus
- imunossupressão
- dano tecidual local por neoplasia, trauma ou irradiação
- dispositivo intrauterino
- aspiração
诊断性检查
首要检查
- cultura de pus ou tecido afetado
- histologia do tecido afetado
- imuno-histologia
- Hemograma completo
- tomografia computadorizada (TC) ou ressonância nuclear magnética (RNM) abdominal
新兴检查
- reação em cadeia da polimerase do tecido afetado
治疗流程
não alérgicos à penicilina
alergia à penicilina
撰稿人
作者
Thomas Schneider, MD, PhD
Professor
Medical Department I
Charité - University Medicine Berlin
CBF
Berlin
Germany
利益声明
TS is an author of a number of references cited in this topic.
Verena Moos, PhD
Scientist
Medical Department I
Charité - University Medicine Berlin
CBF
Berlin
Germany
利益声明
VM is an author of a number of references cited in this topic.
同行评议者
Johannes R. Bogner, MD
Professor of Internal Medicine
Department of Infectious Diseases
Medical Polyclinic
University Hospital Munich
Munich
Germany
利益声明
JRB declares that he has no competing interests.
Chris Huston, MD
Assistant Professor of Medicine
Division of Infectious Diseases
University of Vermont
Burlington
VT
利益声明
CH declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Smego RA Jr, Foglia G. Actinomycosis. Clin Infect Dis. 1998 Jun;26(6):1255-61. 摘要
Acevedo F, Baudrand R, Letelier LM, et al. Actinomycosis: a great pretender: case reports of unusual presentations and a review of the literature. Int J Infect Dis. 2008 Jul;12(4):358-62. 摘要
Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ. 2011 Oct 11;343:d6099. 摘要
Martin MV. The use of oral amoxycillin for the treatment of actinomycosis: a clinical and in vitro study. Br Dent J. 1984 Apr 7;156(7):252-4. 摘要
Spilsbury BW, Johnstone FR. The clinical course of actinomycotic infections: a report of 14 cases. Can J Surg. 1962 Jan;5:33-48. 摘要
Sudhakar SS, Ross JJ. Short-term treatment of actinomycosis: two cases and a review. Clin Infect Dis. 2004 Feb 1;38(3):444-7.全文 摘要
Bennhoff DF. Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases. Laryngoscope. 1984 Sep;94(9):1198-217. 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Abscesso abdominal
- Tumor ovariano ou tubário
- Apendicite
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