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[Abdominal actinomycosis]

M. Giobba1, A. Vaglia, R. Fuser

  • 1Divisione Malattie Infettive, Treviso, Divisione Chirurgia Generale, Oderzo, Italy.

Le Infezioni in Medicina
|April 25, 2003
PubMed
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Abdominal actinomycosis diagnosis is challenging, often requiring histological examination for confirmation. This case highlights the difficulties in differentiating actinomycosis from other abdominal conditions like colic neoplasm.

Area of Science:

  • Medical Microbiology
  • Surgical Pathology

Background:

  • Actinomycosis is a rare bacterial infection caused by Actinomyces species.
  • Abdominal actinomycosis can mimic other intra-abdominal pathologies, complicating diagnosis.

Purpose of the Study:

  • To report a case of abdominal actinomycosis in a patient presenting with symptoms suggestive of colic neoplasm.
  • To emphasize the diagnostic challenges and the importance of histological examination in confirming actinomycosis.

Main Methods:

  • Case report of a 65-year-old woman.
  • Diagnostic workup included explorative laparotomy.
  • Definitive diagnosis was established via histological examination.

Main Results:

  • Histological examination confirmed abdominal actinomycosis.

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  • Pre-operative diagnosis was challenging, with suspected colic neoplasm.

    • Conclusions:

    • Abdominal actinomycosis poses significant diagnostic challenges.
    • Histological examination remains the gold standard for diagnosing actinomycosis.
    • Early and accurate diagnosis is crucial for effective management.