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Is appendectomy always the adequate treatment? Clinical manifestations of isolated actinomycosis in appendix
Veysi Hakan Yardimci1, Aytul Hande Yardimci2
1Faculty of Health Sciences, İstanbul Gelisim University, İstanbul, Turkey.
Abstract:
Isolated appendiceal actinomycosis is a rare chronic progressive suppurative infection. Causative agent in humans is gram-positive saprophytic an- aerobic bacteria, Actinomyces Israelii. Herein, it was aimed to present a case of acute appendicitis that developed in a 54-year-old female due to isolated appendiceal actinomycosis. Diagnosis of appendiceal actinomycosis causing acute appendicitis is generally performed postoperatively histopathologi- cally, and appendectomy alone is not sufficient in treatment. It is an important point that should be considered by clinicians that definitive treatment of the infection is possible by appropriate antibiotic use.
Insights
Isolated appendiceal actinomycosis, a rare infection caused by Actinomyces Israelii, can mimic acute appendicitis. Definitive treatment requires antibiotics, not just appendectomy.
Area of Science:
- Medical Microbiology
- Surgical Pathology
Background:
- Appendiceal actinomycosis is a rare, chronic, suppurative infection.
- Actinomyces Israelii, a gram-positive anaerobic bacterium, is the causative agent in humans.
Observation:
- A case of acute appendicitis in a 54-year-old female was attributed to isolated appendiceal actinomycosis.
- Diagnosis is typically made postoperatively via histopathological examination.
Findings:
- Appendectomy alone is insufficient for treating appendiceal actinomycosis.
- Appropriate antibiotic therapy is crucial for definitive treatment.
Implications:
- Clinicians must consider actinomycosis in the differential diagnosis of acute appendicitis.
- Integrating antibiotic treatment with surgical intervention improves patient outcomes.
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