食管放线菌感染1例

Esophageal actinomycosis:A case report

背景食管放线菌病是一种罕见的食管感染性疾病,常见症状包括吞咽困难和吞咽痛,这些症状通常是非特异性的,易导致误诊或延迟诊断.病例简介85岁女性,有9年的吞咽困难症状,加重9 d.她合并了高血压病、慢性阻塞性肺疾病及脑梗塞病史.胃镜发现食管多发溃疡并狭窄,后续组织病理报告确诊为食管放线菌病.抗菌治疗临床缓慢改善.结论食管放线菌病临床表现非特异性,组织病理学是目前临床确诊放线菌感染的主要检查方法.高效抗生素长期治疗,本病预后良好.

BACKGROUND Esophageal actinomycosis is a rare infectious disease of the esophagus.Common symptoms include dysphagia and odynophagia.These symptoms are usually non-specific,leading to misdiagnosis or delayed diagnosis.CASE SUMMARY An 85-year-old woman presented with a 9-year history of dysphagia and aggravation for 9 d.She had a history of hypertension,chronic obstructive pulmonary disease,and cerebral infarction.Endoscopy revealed multiple ulcers and stenosis in the esophagus,and subsequent histopathological examination confirmed esophageal actinomycosis.The clinical symptoms improved slowly after antibacterial treatment.CONCLUSION The clinical manifestations of esophageal actinomycosis are non-specific,and histopathology is the main method for diagnosis of actinomycosis.The prognosis of this disease is good after long-term treatment with highly effective antibiotics.