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[Appendicular actinomycosis as a cause of ileocecal mass in children: Case report]

M Fernández Castilla1, A Salazar Villacorta2, A Martín Nalda2

  • 1Servicio de Cirugía Pediátrica. Área Materno-Infantil. Hospital Universitario Vall d'Hebron. Barcelona.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|October 25, 2016
PubMed

Insights

Appendicular actinomycosis, a rare bacterial infection of the appendix, can mimic tumors in children. Early diagnosis and appropriate antibiotic treatment are crucial for managing this condition.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Pediatric Surgery

Background:

  • Appendicular actinomycosis is a rare condition caused by Actinomyces bacteria invading the cecal appendix.
  • It often follows a predisposing event that compromises the mucosal barrier, such as acute appendicitis.
  • While more common in adults, pediatric cases of appendicular actinomycosis have been documented.

Observation:

  • A 10-year-old boy presented with a suspected right flank tumor, initially misdiagnosed.
  • Re-evaluation revealed complicated acute appendicitis with an organized plastron lacking acute inflammation.
  • Histopathological analysis confirmed appendicular actinomycosis.

Findings:

  • Appendicular actinomycosis can present atypically in children, mimicking intra-abdominal tumors.
  • Successful management involved surgical intervention and comprehensive antibiotic therapy.
  • Ruling out underlying predisposing conditions is essential for effective treatment.

Implications:

  • This case highlights the importance of considering appendicular actinomycosis in pediatric differential diagnoses for abdominal masses.
  • Adequate antibiotic treatment is critical for favorable outcomes.
  • Further research into atypical presentations and management strategies for pediatric actinomycosis is warranted.
Abstract

Keywords:
Abdominal tumorActinomycosisAppendicitisChild

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