안구 침범을 동반한 두경부 방선균증
Cervicofacial actinomycosis with orbit involvement
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초록
방선균증은 그람 양성 혐기성 균인 악티노미세스과 (Actinomycetaceae)로 인하여 발생하며, 안구 감염의 원인으로서의 방선균증은 드물다고 알려져 있다. 저자들은 60세 남자에게서 발견된 안구 봉와직염을 포함한 경부안면형과 중추신경계형방선균증의 자기공명영상 소견을 보고하고자 한다. T1 강조 안구 자기공명영상에서 안구를 비롯한 두경부에 다수의 비정상적 조영증강 병변이 보였으며, 일부에서는 농양들으로 생각되는 저 신호강도들을 포함하고 있었다. 병변은 절개 생검을 통하여 방선균증으로 진단되었고, 이후 페니실린계 항생제를 사용하여 완치되었다.
Abstract
Actinomycosis is caused by filamentous Gram positive anaerobic bacteria from the Actinomycetaceae family,and known as a rare cause of the infection at the eyeball. We report magnetic resonance findings of a 60-year-oldKorean man with cervicofacial actinomycosis, including cellulitis in the eye and central nervous system actinomycosis. On orbital magnetic resonance imaging, gadolinium-enhanced T1-weight images showed multiple abnormalenhancing lesions in head and neck including right eye, and some include low signal intensities which consideredas abscesses. The lesions was diagnosed as actinomycosis by incisional biopsy, and since then was cured by usingantibiotics of penicillin family.
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