A Case Report of Pelvic Actinomycosis and a Literature Review

Han, Ying; Cao, Yang; Zhang, Yanjun; Niu, Lin; Wang, ShuZhen; Sang, Cuiqin

doi:10.12659/ajcr.922601

Cited by 13 publications

(17 citation statements)

References 9 publications

(22 reference statements)

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“…A common form of the disease is pelvic actinomycosis, particularly in women with a history of IUD insertion. 3 , 14 , 15 It presents with pelvic pain, tubo-ovarian mass, and vaginal discharge. However, fever is not a common symptom.…”

Section: Questions/discussion Points Partmentioning

confidence: 99%

Educational Case: Pelvic actinomycosis masquerading as an ovarian tumor

Koteeswaran

2022

Academic Pathology

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Section: Questions/discussion Points Partmentioning

confidence: 99%

Educational Case: Pelvic actinomycosis masquerading as an ovarian tumor

Koteeswaran

2022

Academic Pathology

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“… 3 This regimen depends on the lesion size, presenting symptoms, abscess or sinus tract formation requiring definitive surgery and previous failed medical therapy. 1 Without a pre-operative diagnosis, the lesion should be treated as a potential malignancy and excised by a surgical oncologist. Even with a pre-operative diagnosis of Actinomycosis, surgery can reduce mass effect of the lesion, increase penetration of antimicrobials, shorten treatment regimen and reduce doses required while maintaining efficacy.…”

Section: Discussionmentioning

confidence: 99%

“…Grocott–Gomori staining shows sulfur granules and fungus-like branched networks of hyphae leading to the name Actinomyces, ‘ray fungus’. 1 Certain species are commensal to skin, oral, intestinal and vaginal flora. These bacteria cause actinomycosis with formation of abscesses in the mouth, lungs, or gastrointestinal tract when breaks in normal mucosal barriers occur.…”

Section: Introductionmentioning

confidence: 99%

Pelvic actinomycosis

Floyd

Hunter

Saadeh

et al. 2021

QJM: An International Journal of Medicine

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Background Actinomycosis is a rare infectious disease caused by Actinobacteria. It has a wide spectrum of presenting symptoms depending on anatomical location and can occasionally mimic pelvic malignancy and cause diagnostic difficulty. Case A female in her seventies presented with altered bowel habit, anorexia and abdominal discomfort with a history of diverticulosis. CT-AP revealed a sigmoid lesion causing large bowel obstruction. She underwent a laparoscopic defunctioning sigmoid loop colostomy and limited sigmoidoscopy. Subsequent endoscopy showed no dysplastic change but obvious stricturing. A diagnosis of locally perforated diverticular disease was made. Subsequent imaging showed rapid progression with hydroureter and hydronephrosis, now suggesting locally perforated sigmoid tumour or gynaecological malignancy. Tumour markers were normal. She underwent surgical exploration and resection. Specimen evaluation revealed Actinomyces likely originating from diverticular disease. Treatment involved long-term antibiotics for 12 months. Conclusion Pelvic Actinomyces is a difficult diagnosis to make on clinical and radiological findings. It should be considered in differential diagnoses of progressive pelvic lesions.

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“…Once pelvic actinomycosis is diagnosed, IUD if it exists, must be removed and penicillin administration must be started [16] , [17] . Tetracycline, clindamycin and erythromycin can be used in case of allergy to penicillin [6] .…”

Section: Discussionmentioning

confidence: 99%

Pelvic actinomycosis: A confusing diagnosis

Ferjaoui

Arfaoui

Khedhri

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Actinomycosis is a rare chronic and suppurative infection caused by anerobic Gram Positive bacteria: actinomyces. Pelvic location is extremely rare, usually associated with history of IUD contraception and doesn't have specific signs. Pelvic actinomycosis diagnosis may be confused with pelvic gynecologic malignancies or abscess. We present a retrospective and descriptive study of twelve patients with pelvic actinomycosis diagnosed and managed in our department from January 2000 to December 2011. Cases presentation The patients' mean age was 47 years. 75% of them had a history of IUD for a mean period of 8,44 years. Pelvic pain was the most common complaint. In four cases, pre-operative clinical presumption was tubo-ovarian abscess. Gynecologic malignancies were suspected in 8 patients. Pelvic actinomycosis management was based on surgery and long-term antibiotic. Clinical discussion Pelvic actinomycosis is an extremely rare chronic infection, presenting 3% of human actinomycosis. Common clinical presentations include vaginal discharge, tubo-ovarian abscess and pelvic tumors mimicking gynecologic malignancies. It is difficult to diagnose. Association with IUD history was recognized. Management is based on surgery and long-term antibiotic administration. Conclusion Pelvic actinomycosis is an extremely rare chronic infection. This entity is difficult to diagnose. Accurate diagnosis can reduce complications and unnecessary surgeries, and can preserve fertility.

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A Case Report of Pelvic Actinomycosis and a Literature Review

Cited by 13 publications

References 9 publications

Educational Case: Pelvic actinomycosis masquerading as an ovarian tumor

Educational Case: Pelvic actinomycosis masquerading as an ovarian tumor

Pelvic actinomycosis

Pelvic actinomycosis: A confusing diagnosis

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