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[Abdomino-pelvic actinomycosis: a case report]
Riadh Bedoui1, Ramzi Nouira, Riadh Zribi
1Service de Chirurgie Beau Séjour, Hôpital Charles Nicolle, Tunisie.
La Tunisie Medicale
|March 14, 2003
Summary
Actinomycosis, a rare pelvic infection caused by Actinomyces israelii, was successfully treated in a 30-year-old patient. Percutaneous drainage and penicillin therapy resolved the abdominal mass and pelvic collection.
Area of Science:
- Infectious Diseases
- Microbiology
Background:
- Actinomycosis is a chronic granulomatous disease caused by Gram-positive bacteria, Actinomyces israelii.
- While cervical and thoracic infections are common, pelvic and genital tract involvement is rare, accounting for a small percentage of cases.
Observation:
- A 30-year-old patient presented with an abdominal mass and pelvic collection.
- Physical examination revealed tenderness and a palpable mass in the left hypochondrium and Douglas' pouch.
- Imaging studies, including ultrasound and CT, confirmed sub-splenic and pelvic fluid collections.
Findings:
- Bacteriological analysis of tissue and pus isolated Actinomyces israelii.
- The patient was treated with Penicillin, leading to a favorable clinical outcome.
- Sub-splenic collection was drained under radiological guidance, facilitating diagnosis and treatment.
Implications:
- This case highlights the possibility of rare pelvic actinomycosis presentations.
- Minimally invasive drainage provided effective diagnosis and treatment, avoiding extensive surgery.
- Early diagnosis and appropriate antibiotic therapy are crucial for managing actinomycosis.