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[Urachal Actinomycosis : A Case Report]
Yosuke Sekii1, Takuya Itou1, Ken Takeda1
1The Department of Urology, Sakai City Medical Center.
Hinyokika Kiyo. Acta Urologica Japonica
|May 19, 2018
Summary
A 66-year-old woman with a palpable abdominal mass was diagnosed with actinomycosis. Antibiotic therapy led to mass resolution and no relapse, highlighting effective treatment for this rare infection.
Area of Science:
- Medical Imaging
- Infectious Diseases
- Surgical Pathology
Background:
- A 66-year-old woman presented with a palpable left lower abdominal mass.
- Initial investigations included computed tomography (CT) and cystoscopy, which were inconclusive for the mass's origin.
Observation:
- Abdominal imaging (contrast-enhanced CT and MRI) suggested actinomycosis.
- An open biopsy confirmed actinomycosis via histopathological analysis of the subcutaneous mass.
Findings:
- The patient received antibiotic therapy for 2 weeks.
- Post-treatment CT showed significant diminution of the abdominal mass.
- No relapse was observed 24 weeks after completing antibiotic treatment.
Implications:
- This case highlights the importance of considering actinomycosis in abdominal masses, even with normal tumor markers.
- Prompt diagnosis through biopsy and effective antibiotic treatment can lead to favorable outcomes.
- Sustained remission suggests successful management of actinomycosis with a short antibiotic course.
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