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Caecum actinomycosis with acute abdomen: A case report
Bader I Asiri1, Ali A Alshehri2, Abdullah S Alqahtani3
1Internal Medicine, Armed Forces Hospital Southern Region, KSA.
Journal of Taibah University Medical Sciences
|May 6, 2020
Summary
Abdominal actinomycosis, a rare bacterial infection, can mimic common conditions. This case highlights successful treatment with antibiotics and surgery for appendiceal actinomycosis, leading to eventual eradication.
Area of Science:
- Microbiology
- Gastroenterology
- Infectious Diseases
Background:
- Abdominal actinomycosis is a rare infectious disease caused by Actinomyces species, often presenting as an ileocecal disorder.
- It is typically diagnosed after excluding more common clinical conditions.
Observation:
- A 38-year-old male presented with right iliac fossa pain, initially diagnosed with appendicitis.
- Histological examination of the appendix revealed actinomycosis, characterized by filamentous bacteria.
Findings:
- The patient received amoxicillin for appendiceal actinomycosis.
- Follow-up imaging showed a thickened cecal wall, leading to ileocecal resection.
- Post-surgery histology confirmed chronic inflammation but no residual actinomycosis, suggesting antibiotic efficacy.
Implications:
- This case underscores the importance of considering actinomycosis in ileocecal disorders.
- Early antibiotic treatment may be effective in eradicating abdominal actinomycosis.
- Combined antibiotic and surgical approaches can successfully manage complex cases.
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