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放线菌病多发生于面颈部,但原发或继发于骨的放线菌病极罕见,易误为骨髓炎,角化囊肿,牙源性囊肿等。本文对1例典型的下颌骨放线菌病通过病理组织学观察,提出本病的诊断要点和蔓延机理,现报告如下。患者,女性,18岁,新疆人,于1978年4月11日因颌周脓肿两年入院。自1976年因感冒引起颌下部红肿疼痛,伴低热,至1977年11月症状加重,并向左侧颌及颈部发展,牙齿松动,咬合不齐,不能咀嚼食物。查体:体温36.2℃血压108/70mmHg,表浅淋巴结不肿大。胸对
Actinomycosis mostly occurs in the face and neck, but the actinomycosis that is primary or secondary to the bone is extremely rare, and is easily misdiagnosed as osteomyelitis, keratocysts, and odontogenic cysts. In this paper, a typical mandibular bone actinomycosis by pathological observation, put forward the diagnosis of the disease and the spread of the mechanism, the report is as follows. The patient, female, 18 years old, was admitted to hospital in Xinjiang on April 11, 1978 due to a peri-mandibular abscess. Since 1976, due to a cold that caused swelling and pain in the lower jaw, accompanied by fever, the symptoms worsened by November 1977, and developed toward the left jaw and neck. The teeth were loose, and the teeth were not chewed. Physical examination: body temperature 36.2 °C blood pressure 108/70mmHg, superficial lymph nodes are not swollen. Chest pair