A Rare Complication of Actinomyces Abdominal Infection: A Case Report

Lígia Freire1, Cláudia Santos1, Frederico Duarte2

  • 1General Surgery, Hospital Pedro Hispano, Matosinhos, PRT.

Cureus
|April 24, 2023
PubMed

Insights

Actinomyces intraabdominal infections are rare but can mimic tumors. Prompt diagnosis and treatment are crucial for managing these persistent inflammatory conditions, especially after surgery.

Area of Science:

  • Microbiology
  • Surgical Pathology

Background:

  • Intraabdominal Actinomyces infections are uncommon, typically arising from mucosal barrier breaches in peritoneal organs.
  • These infections present as persistent inflammation and fibrosis, potentially mimicking tumors or other diseases.

Observation:

  • Actinomyces infections can manifest as abscesses, strictures with adhesions, or fistulas.
  • A case of post-hysterectomy surgical site infection by Actinomyces led to a colo-vaginal fistula.

Findings:

  • The presented case involved a superficial and organ/space surgical site infection due to Actinomyces following laparotomic hysterectomy.
  • A subsequent colo-vaginal fistula developed and was successfully treated surgically.

Implications:

  • Early diagnosis and appropriate management, including antimicrobial therapy and surgical drainage, are vital for successful outcomes.
  • Recognizing Actinomyces as a potential cause of complex intraabdominal infections and post-surgical complications is essential for clinicians.

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