Abdominal actinomycosis – 3 case reports and literature overview

Czech version

Authors: J. Majernik; D. Bis; P. Hanousek; V. Ninger
Authors‘ workplace: Chirurgické oddělení Chrudimská nemocnice, a. s., přednosta: MUDr. V. Ninger, PhD.
Published in: Rozhl. Chir., 2013, roč. 92, č. 5, s. 260-263.
Category: Case Report

Overview

The authors present three cases of abdominal actinomycosis that were initially diagnosed as acute appendicitis, an abscess in the left groin and pelvic tumour, probably of gynaecological origin. Definitive diagnosis of abdominal actinomycosis was established as late as postoperatively.

Abdominal actinomycosis is a chronic, infectious disease characterized most frequently by non-specific symptoms such as abdominal pain, fever, vomiting, bowel obstruction, weight loss, sometimes palpable resistance, and leukocytosis [1–9]. Diagnosis may be difficult and needs to be taken into account, especially in patients with risk factors.

Keywords:
actinomycosis – abdominal actinomycosis – sulfur granules

Sources

1. Garner JP. Abdominal actinomycosis. International journal of surgery 2007;5:441–448.

2. Janík M. Aktinomykóza pľúc predstierajúca pancoastoidný rakovinový nádor. Rozhl Chir 2006;6:266–268.

3. Thomas L. Isolated hepatic actinomysosis: a case report. Journal of medical case reports 2010;4:45–49.

4. Simsek A. Pelvic actinomycosis presenting as a malignant pelvic mass: a case report. Journal of medical case reports 2011;5:40–43.

5. Faustino R. Female pelvic actinomycosis and intrauterine contraceptive devices, Open Access journal of contraception. 2010;1:35–38.

6. Nozawa H. Pelvic actinomycosis presenting with a large abscess and bowel stenosis with marked reponse to conservative treatement: a case report. Journal of medical case reports 2007;1:141–146.

7. Devendra K. Pelvic actinomycosis masquerading as an acute abdomen from a small bowel perforation. Singapore med Journal 2008;49:158–159.

8. Karagulle E. Abdominal actinomycosis mimicking acute apendicitis. Canadien Journal of surgery 2008;51:109–110.

9. Tamer A. Abdominal Actinomycosis: a report of two cases, Acta chir Belg 2006;106:351–353.

10. Smith A. Antimicrobial susceptibility testing of Actinomyces species with 12 antimicrobial agents, Journal of Antimicrobial Chemotherapy 2005;56:407–409.

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Article was published in

Perspectives in Surgery

2013 Issue 5