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[Abdominal actinomycosis. Three cases].

F Noomene1, K Zouari, W Kallel

  • 1Service de chirurgie générale et digestive EPS F. Bourguiba Monastir 5000 Tunisie.

Presse Medicale (Paris, France : 1983)
|May 20, 2003
PubMed
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Abdominal actinomycosis, a rare bacterial infection, often presents as tumors, making diagnosis challenging. Early detection and appropriate antibiotic treatment are crucial for managing this condition.

Area of Science:

  • Medical microbiology
  • Surgical pathology
  • Infectious diseases

Background:

  • Abdominal actinomycosis is a rare suppurative infection caused by Actinomyces israelii.
  • Clinical manifestations often mimic pseudotumoral syndromes, necessitating surgical intervention.
  • Histopathological examination is typically required for definitive diagnosis.

Observation:

  • Three cases of abdominal actinomycosis are presented, all exhibiting tumoral symptoms.
  • Affected sites included the sigmoid colon, mesentery, and greater omentum with the abdominal wall.
  • Preoperative diagnosis was not achieved in any of the reported cases.
  • Two patients had a history of an intrauterine device.

Findings:

  • Diagnosis of abdominal actinomycosis is challenging due to nonspecific radiologic findings.

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  • The condition is primarily treated with extended antibiotic courses.
  • Surgical intervention is reserved for cases involving abdominal abscess or fistula formation.

    • Implications:

    • These cases highlight the diagnostic difficulties associated with abdominal actinomycosis.
    • Increased awareness and consideration of actinomycosis in patients with unexplained abdominal masses are warranted.
    • Prompt diagnosis and management can prevent complications and improve patient outcomes.