面颈部放线菌病临床病理观察(附3例报告)  

Clinicopathologic study on cervicofacial actinomycoses:Report of three cases

作　　者：康德勇[1] 邱小文[1] 杨发端[1] 

机构地区：[1]福建医科大学附属协和医院,350001

出　　处：《福建医药杂志》2007年第6期2-4,共3页Fujian Medical Journal

摘　　要：目的探讨面颈部放线菌病的临床病理特点。方法对3例面颈部放线菌病进行常规HE染色和特殊染色，观察其病理形态学特征。结果组织学特点是慢性化脓性炎症，伴有脓肿形成；脓液中可见硫磺颗粒，为直径50-500μm的菌落，中心为蓝色分支状菌丝，周围为伊红色放射状排列的棒状体；Gram染色见Gram阳性分支状菌丝。结论放线菌病有特殊组织形态学特点，确诊依赖于病原学检查。Objective Exploration on clinicopathologic characteristics of cervicofacial actinomycoses. Methods Three cases of cervicofacial actinomycoses were analyzed by hematoxylin-eosin and special staining, and their characteristics of pathological morphology were observed. Results Histologic characteristic was a granulomatous, chronic, and infections disease with abscess formation. Sulfur granules could be seen in suppuration. It could be observed that the granules were microcolonies, which were 50-500μm in diameter and with a clump of blue branching hyphae in center and radially arranged eosinic rods peripherally. Gram stain rendered these microcolonies visible as gram-positive, branching hyphae. Conclusion Cervicofacial actinomycoses have special histologic characteristics and diagnosis of cervicofacial actinomycoses relies on etiologic examination.

关 键 词：面颈部 放线菌病 以色列放线菌 

分 类 号：R519[医药卫生—内科学]