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Pilonidal Abscess Associated With Primary Actinomycosis
Han Boon Oh1, Mohamad Hashir Abdul Malik2, Chris Hang Liang Keh2
1Department of General Surgery, Alexandra Hospital, Jurong Health Services, Singapore City, Singapore.; University Surgical Cluster, National University Health System, Singapore City, Singapore.
Annals of Coloproctology
|January 28, 2016
Summary
Actinomycosis, a rare bacterial infection, can affect pilonidal sinuses. This case highlights successful treatment of a pilonidal abscess caused by actinomycosis using surgical drainage and antibiotics.
Area of Science:
- Infectious Diseases
- Surgical Pathology
Background:
- Pilonidal disease commonly manifests as abscesses or fistulas in the sacrococcygeal region.
- Actinomycosis is an uncommon cause of infection in pilonidal sinuses, with limited published reports.
Purpose of the Study:
- To report a case of actinomycosis in a pilonidal abscess.
- To emphasize the recognition and treatment of this rare condition.
Main Methods:
- Surgical drainage and debridement of a pilonidal abscess.
- Microbiological analysis of abscess pus.
- Post-operative antibiotic treatment.
Main Results:
- Actinomyces turicensis, Prevotella bivia, and Peptostreptococci were identified in the abscess.
- The patient recovered well following surgical intervention and a one-week course of oral amoxicillin-clavulanate.
Conclusions:
- Actinomycosis is an uncommon but treatable cause of pilonidal abscess.
- Combined surgical drainage and antibiotic therapy are effective for managing actinomycosis in pilonidal sinuses.
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