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[Digestive actinomycosis: three cases and review].

Khawla Benkhraba1, Amine Benkabbou, Hadj Omar El Malki

  • 1Clinique Chirurgicale A, Hôpital Ibn Sina, Rabat, Maroc.

Gastroenterologie Clinique Et Biologique
|June 28, 2006
PubMed
Summary

Actinomycosis, a rare bacterial infection, often presents challenges in diagnosis, particularly in the abdomen. Prompt penicillin therapy ensures favorable outcomes for this treatable condition.

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Area of Science:

  • Medical microbiology
  • Surgical pathology
  • Infectious diseases

Background:

  • Actinomycosis is a chronic suppurative disease caused by anaerobic bacteria, primarily Actinomyces israelii.
  • While cervical and thoracic infections are common, abdominal actinomycosis is rare and can mimic malignancy.
  • This rarity often leads to delayed diagnosis and surgical intervention.

Observation:

  • This report details three cases of surgical abdominal actinomycosis.
  • Two cases involved colic localization, and one case presented with hepatic involvement.
  • In all three instances, the diagnosis of actinomycosis was established post-resection.

Findings:

  • The diagnosis of abdominal actinomycosis is challenging due to its infrequent occurrence and potential to mimic other conditions.

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  • Surgical resection was performed in all reported cases.
  • All patients experienced favorable outcomes following treatment with long-term penicillin therapy.

    • Implications:

    • These cases highlight the diagnostic difficulties associated with rare abdominal actinomycosis.
    • Early recognition and appropriate antibiotic treatment, particularly long-term penicillin, are crucial for successful management.
    • Increased awareness among clinicians may improve diagnostic accuracy and patient outcomes for this curable disease.