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[Pelvic pseudotumoral actinomycosis: two cases].
M Abid1, M Ben Amar, N Feriani
1Service de chirurgie générale, EPS Habib Bourguiba, Sfax, Tunisie. abid_med_chu@yahoo.fr
La Revue De Medecine Interne
|August 29, 2009
Summary
Pelvic actinomycosis, a rare disease mimicking gynecological cancers, can be effectively treated with antibiotics like penicillin and amoxicillin, leading to significant clinical improvement and lesion regression.
Area of Science:
- Gynecology
- Infectious Diseases
- Oncology
Background:
- Pelvic actinomycosis is a rare suppurative condition.
- It is often misdiagnosed as gynecological cancer.
- Intrauterine device (IUD) use is a common predisposing factor.
Observation:
- Two cases of pelvic actinomycosis in women aged 40 and 41 are presented.
- Clinical presentation included pelvic masses and, in one case, liver metastasis and peritoneal carcinosis.
- Imaging (CT-scan) revealed infiltrative adnexal tumors.
Findings:
- Pathological diagnosis confirmed actinomycosis.
- Treatment involved intravenous penicillin G followed by oral amoxicillin.
- Both patients showed significant clinical improvement with complete regression of pelvic and hepatic lesions in one case.
Implications:
- Pelvic actinomycosis requires a high index of suspicion for accurate diagnosis.
- Prompt antibiotic treatment can lead to favorable outcomes.
- This condition highlights the importance of considering infectious etiologies in gynecological masses.
