Primary gastric actinomycosis: report of a case diagnosed in a gastroscopic biopsy.

Q2 Medicine
BMC Clinical Pathology Pub Date : 2014-10-01 eCollection Date: 2015-01-01 DOI:10.1186/s12907-015-0002-8
Khaleel Al-Obaidy, Fatimah Alruwaii, Areej Al Nemer, Raed Alsulaiman, Zainab Alruwaii, Mohamed A Shawarby
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引用次数: 12

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原发性胃放线菌病:报告1例胃镜活检诊断。
背景:原发性胃放线菌病极为罕见,腹腔放线菌病最常累及的部位为阑尾和回盲区。在此,我们报告一例原发性胃放线菌病。诊断是在胃镜活检标本的显微评价上做出的。据我们所知,这是文献中报道的第三例病例,其中诊断是在胃镜活检而不是切除标本中做出的。病例介绍:一名87岁沙特男性,因心肌病、室性早缩、肾功能损害、高血压和血脂异常而接受药物治疗,因急性弥漫性腹痛、腹胀、便秘和呕吐2天来到急诊科,无发热、腹部手术或创伤史。病人因胃出口梗阻入院。根据放射学和胃镜检查结果,怀疑非感染性病因,可能是腺癌或淋巴瘤。胃镜活检显示活跃炎症,局部溃烂的萎缩性眼底粘膜,伴纤维蛋白脓性渗出物碎片,含有褐色铁阴性色素和丰富的丝状细菌,形态与放线菌一致。结论:原发性胃放线菌病虽然极为罕见,但在影像学和胃镜下弥漫性胃壁增厚和粘膜下肿瘤样或浸润性病变的鉴别诊断中应予以考虑,特别是有腹部手术或创伤史的患者,或接受广泛药物治疗的患者。在胃镜活检中,病理学家需要高度的怀疑才能做出诊断。细微的变化,如色素炎性渗出物的存在,应提醒病理学家进行适当的特殊染色以显示致病生物体。
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来源期刊
BMC Clinical Pathology
BMC Clinical Pathology Medicine-Pathology and Forensic Medicine
CiteScore
3.30
自引率
0.00%
发文量
0
期刊介绍: BMC Clinical Pathology is an open access journal publishing original peer-reviewed research articles in all aspects of histopathology, haematology, clinical biochemistry, and medical microbiology (including virology, parasitology, and infection control). BMC Clinical Pathology (ISSN 1472-6890) is indexed/tracked/covered by PubMed, CAS, EMBASE, Scopus and Google Scholar.
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