疑似难治性克罗恩病合并放线菌感染一例  

A case of refractory Crohn's disease complicated by actinomycosis infection

作　　者：樊珍珍 周禾 周霞 时艳婷 张嘉琦 王芳 李瑞霞 刘小宁 孟存英[3] 梁洁 Fan Zhenzhen;Zhou He;Zhou Xia;Shi Yanting;Zhang Jiaqi;Wang Fang;Li Ruixia;Liu Xiaoning;Meng Cunying;Liang Jie(Yan'an University School of Medicine,Yan'an 716000,China;State Key Laboratory of Holistic Integrative Management of Gastrointestinal Cancers,National Clinical Research Center for Digestive Diseases,Xijing Hospital of Digestive Diseases,Air Force Medical University,Xi'an 710032,China;Department of Gastroenterology,Affiliated Hospital of Yan'an University,Yan'an,716000,China)

机构地区：[1]延安大学医学院,延安716000 [2]空军军医大学西京消化病医院、国家消化系统疾病临床医学研究中心、消化系肿瘤整合防治全国重点实验室,西安710032 [3]延安大学附属医院消化内科,延安716000

出　　处：《中华炎性肠病杂志（中英文）》2024年第5期407-408,共2页Chinese Journal of Inflammatory Bowel Diseases

基　　金：国家自然科学基金面上项目(82370588);陕西省重点产业创新链(群)-社会发展领域(2023-ZDLSF-44);国家自然科学基金重大研究计划集成项目(92259302);肿瘤生物学国家重点实验室项目(CBSKL2022Z34);教育部青年长江学者专项基金(Q2018252)。

摘　　要：在临床上,克罗恩病(CD)和腹型放线菌病症状相似,难以区分。但CD合并放线菌继发感染的患者罕见。本文系统性地回顾空军军医大学西京消化病医院收治的1例CD合并放线菌继发感染患者的诊疗过程,以期为后续的临床诊疗工作提供思路和经验。Clinically,it is challenging to differentiate Crohn's disease(CD)from abdominal actinomycosis due to their similar symptoms.However,cases of CD with secondary actinomycosis infection are rare.This article systematically reviews the diagnosis and treatment process of a patient with CD complicated by secondary actinomycosis infection at the Air Force Medical University Xijing Digestive Disease Hospital,to provide ideas and experience for future clinical diagnosis and treatment.

关 键 词：克罗恩病 结节性红斑 放线菌 肝脓肿 脓胸 

分 类 号：R574[医药卫生—消化系统]