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[Abdominal actinomycosis: four cases].

N Ghannouchi Jaafoura¹, N Kaabia, M Khalifa

¹Service de Médecine Interne et Maladies Infectieuses, Hopital Fahrat Hached, Sousse, Tunisie.

Revue Medicale De Liege

|February 3, 2009

Summary

This summary is machine-generated.

Abdominal actinomycosis (AA) is a rare bacterial infection often misdiagnosed as a tumor. Early antibiotic treatment is crucial for cure, preventing extensive surgery and potential relapse.

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Area of Science:

Infectious Diseases
Microbiology
Surgical Pathology

Background:

Abdominal actinomycosis (AA) is a rare, chronic suppurative illness caused by Actinomyces israelii.
AA often presents as a pseudotumoral syndrome, leading to misdiagnosis and unnecessary surgery.
Diagnosis is typically confirmed via anatomopathological examination.

Observation:

This report details four cases of AA presenting with pseudotumoral syndrome.
Diagnosis in these cases was only established post-operatively.
Two patients experienced relapse despite prolonged antibiotic therapy.

Findings:

AA frequently mimics malignancy, complicating diagnosis and treatment.
Surgical intervention is often performed before a definitive diagnosis is reached.
Relapse can occur even after months of appropriate antibiotic treatment.

Implications:

Highlights the diagnostic challenges of abdominal actinomycosis.
Emphasizes the importance of considering AA in pseudotumoral syndromes.
Underscores the need for prompt and prolonged antibiotic therapy to prevent surgical complications and relapse.