Related Experiment Videos
[Present trends in abdominal actinomycosis].
D Andronic1, C Lupaşcu, E Târcoveanu
1Clinica I Chirurgie, Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi. candroni@gmail.com
Chirurgia (Bucharest, Romania : 1990)
|November 5, 2009
Summary
Actinomycosis is a rare abdominal infection often misdiagnosed due to varied symptoms. Intrauterine devices (IUDs) are increasingly linked to this condition, highlighting the need for early diagnosis and antibiotic therapy.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Surgical Pathology
Background:
- Actinomycosis, a chronic infection caused by Actinomyces bacteria, presents diagnostic challenges due to its varied clinical and imaging features.
- Its rarity contributes to frequent misdiagnosis, necessitating a high index of suspicion.
Observation:
- A retrospective study analyzed over 40 years of experience with abdominal actinomycosis.
- The incidence of actinomycosis cases increased significantly in recent years, with a notable association with intrauterine devices (IUDs).
- A rare case of intraperitoneal actinomycosis linked to retained gallstones after laparoscopic cholecystectomy was also identified.
Findings:
- The study identified a shift in abdominal actinomycosis epidemiology, with a rise in cases associated with IUDs post-1990.
- Intrauterine devices (IUDs) are now a recognized risk factor for abdominal actinomycosis in female patients.
- Retained gallstones post-laparoscopic cholecystectomy represent a rare etiology for intraperitoneal actinomycosis.
Implications:
- Considering abdominal actinomycosis in female patients with IUDs presenting with inflammatory or pelvic tumoral syndromes is crucial.
- Early diagnosis and prolonged antibiotic treatment can potentially obviate or minimize surgical intervention.
- Awareness of rare causes like retained gallstones is important for comprehensive diagnosis and management.
Related Concept Videos
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:28Amebiasis
Entamoeba histolytica, a protozoan parasite, is responsible for intestinal and extraintestinal amebiasis. Though a significant proportion of infections remain asymptomatic, approximately 50 million individuals annually are estimated to present with clinical disease, resulting in up to 100,000 deaths globally. The disease burden is disproportionately high in regions with lower socioeconomic status, such as parts of India, Africa, Mexico, and Latin America.Etiology and TransmissionThe infective...
01:30Bacterial Phylum Actinobacteria
Coryneform bacteria are gram-positive, aerobic, nonmotile rods that exhibit irregular, club-shaped, or V-shaped arrangements. Their V-shape results from snapping division, where the inner cell wall layer forms the cross-wall, while the outer layer remains intact until it ruptures on one side, causing the daughter cells to bend away.The primary genera are Corynebacterium and Arthrobacter. Corynebacterium includes diverse species, ranging from saprophytes to pathogens like Corynebacterium...
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...