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[Pelvic actinomycosis: two cases].

H Mnif1, S Krichen Makni, A Khabir

  • 1Laboratoire d'anatomie et de cytologie pathologique, CHU de Habib-Bourguiba, 3029 Sfax, Tunisie.

La Revue De Medecine Interne
|September 15, 2006
PubMed
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Pelvic actinomycosis, a rare infection caused by Actinomyces israeli, is increasingly diagnosed, often mimicking other conditions. Diagnosis relies on histopathology, with treatment involving surgery and antibiotics.

Area of Science:

  • Gynecology
  • Infectious Diseases
  • Pathology

Background:

  • Actinomycosis is a chronic granulomatous infection caused by Actinomyces species.
  • Pelvic actinomycosis is an uncommon presentation of this disease, with Actinomyces israeli being the most frequent pathogen.

Observation:

  • Two cases of pelvic actinomycosis are presented, diagnosed post-operatively following surgery for suspected ovarian tumors and acute peritonitis.
  • Histopathologic examination was crucial for accurate diagnosis in both instances.

Findings:

  • Pelvic actinomycosis incidence has risen since 1960, linked to increased intra-uterine device usage.
  • Clinical presentation is often non-specific, frequently simulating neoplastic or inflammatory conditions.

Implications:

Related Experiment Videos

  • Early recognition and diagnosis of pelvic actinomycosis are essential due to its non-specific symptoms.
  • Combined surgical and antibiotic therapy is the recommended treatment approach for pelvic actinomycosis.