Actinomycose pelvienne : est-ce prévisible ?

Marret, H.; Wagner, Nils; Ouldamer, Lobna; Jacquet, A.; Body, G.

doi:10.1016/j.gyobfe.2010.03.006

Cited by 22 publications

(14 citation statements)

References 23 publications

(29 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the gynecological literature, cases of IUD associated with pelvic actinomyces infections mimicking malignancy have been reported and in one case with renal failure. 7,8 However, our patient did not have any history of IUD use. Neither pelvic nor renal actinomycosis has been reported in the obstetric literature.…”

Section: Discussionmentioning

confidence: 71%

Renal hemorrhagic actinomycotic abscess in pregnancy

Smid

Bhardwaj

Giovanni

et al. 2014

Infectious Disease Reports

View full text Add to dashboard Cite

Actinomyces israelii is a gram-positive, filamentous anaerobic bacteria colonizing the oral and gastrointestinal tracts. Retroperitoneal actinomycotic abscess is uncommon and its rare presentation as a hemorrhagic mass may be confused with malignancy. We present a case of this unusual infection complicating pregnancy. Increased awareness of actinomycotic abscess in the differential diagnosis of renal mass concerning for malignancy is critical to early recognition and treatment of this rare infection and most importantly, avoidance of unnecessary surgical intervention.

show abstract

Section: Discussionmentioning

confidence: 71%

Renal hemorrhagic actinomycotic abscess in pregnancy

Smid

Bhardwaj

Giovanni

et al. 2014

Infectious Disease Reports

View full text Add to dashboard Cite

show abstract

“…Indeed, it was often difficult to establish the diagnosis of PA because patients' clinical presentation was heterogeneous and non-specific. The invasive potential of the infection into adjacent organs and the possible increase of CA125 tumoral markers [18] cause frequent confusion with advanced-stage ovarian neoplasia [15,16,19]. In our study, some of our patients had first been referred to and cared for in a cancer center before the diagnosis was determined.…”

Section: Discussionmentioning

confidence: 99%

Added-Value of Endometrial Biopsy in the Diagnostic and Therapeutic Strategy for Pelvic Actinomycosis

Carrara

Hervy

Dabi

et al. 2020

JCM

View full text Add to dashboard Cite

The particularity of pelvic actinomycosis lies in the difficulty of establishing the diagnosis prior to treatment. The objective of this retrospective bicentric study was to evaluate the pertinence and efficacy of the different diagnostic tools used pre-and post-treatment in a cohort of patients with pelvic actinomycosis. The following data were collected: clinical, paraclinical, type of treatment, and the outcome and pertinence of the two diagnostic methods, bacteriological or histopathological, were evaluated. Twenty-seven women were included, with a pre-treatment diagnosis proposed for 66.7% (n = 18) of them. The diagnosis was established in 13.6% (n = 3) of cases through bacteriological samples, and in 93.8% (n = 15) of cases through histopathological samples, with endometrial biopsy positive in 100% of cases. The treatment was surgical with antibiotics for 55.6% (n = 15) of patients, medical with antibiotic therapy for 40.7% (n = 11) of patients, and surgical without antibiotics for one patient. All patients achieved recovery without recurrence, with a median follow-up of 96 days (4-4339 days). Our study suggested an excellent performance of histopathological analysis, and in particular endometrial biopsy, in the diagnosis of pelvic actinomycosis. This tool allowed early diagnosis and, in some cases, the use of antibiotic therapy alone, making it possible to avoid surgery.

show abstract

“…The organisms are indigenous in the oral cavity, gastrointestinal tract, and genital track. The destruction of the mucosal barrier by trauma related to endoscopic procedures, operations, or chronic inflammatory disease, is recognized as predisposing factors (1,2,4). …”

Section: Discussionmentioning

confidence: 99%

“…Clinical findings are variable, depending on the involved organ and the duration of the disease (1,7). Common symptoms and signs include abdominal pain with or without palpable mass, body weight loss, fever, vaginal discharge, constipation, or diarrhea.…”

Section: Discussionmentioning

confidence: 99%

“…Actinomycosis is a rare suppurative disease characterized by progressive, chronic, granulomatous infection caused by an anaerobic Gram-positive bacterium, Actinomyces Israelii (1). These organisms are not regarded as virulent human pathogens and are best considered as opportunistic pathogens, as they are normally present in healthy individuals, especially in the oral cavity and tonsillar crypts and in the colon.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Abdominopelvic actinomycosis: spectrum of imaging findings and common mimickers

Triantopoulou

Molen

et al. 2014

Acta Radiologica Short Reports

View full text Add to dashboard Cite

BackgroundActinomycosis is a rare suppurative disease that may mimic other inflammatory conditions on imaging. Its invasive nature may lead to mass formation and atypical presentation thus making accurate diagnosis quite difficult.PurposeTo describe the different aspects of abdominopelvic actinomycosis on cross-sectional imaging and indicate discriminative findings from other inflammatory or neoplastic diseases.Material and MethodsIn our study we analyzed 18 patients (15 women, 3 men; age range, 25–75 years; mean age, 50 years) with pathologically proved abdominopelvic actinomycosis. Contrast-enhanced abdominal computed tomography (CT) had been performed in all patients. Eleven patients had a history of using intrauterine contraceptive devices. Bowel site, wall thickness and enhancement degree, inflammatory infiltration, and features of peritoneal or pelvic mass were evaluated at CT.ResultsThe sigmoid colon was most commonly involved. Most patients showed concentric bowel wall-thickening, enhancing homogenously and inflammatory infiltration of pericolonic fat was mostly diffuse. In 11 patients, one or more pelvic abscesses were revealed, while a peritoneal or pelvic mass adjacent to the involved bowel segment was seen in three cases. Infiltration into the abdominal wall was seen in three cases while in one case there was thoracic dissemination.ConclusionActinomycosis is related not only to long-term use of intrauterine contraceptive devices and should be included in the differential diagnosis when cross-sectional imaging studies show concentric bowel wall-thickening, intense contrast enhancement, regional pelvic or peritoneal masses, and extensive inflammatory fat infiltration with abscess formation.

show abstract

Actinomycose pelvienne : est-ce prévisible ?

Cited by 22 publications

References 23 publications

Renal hemorrhagic actinomycotic abscess in pregnancy

Renal hemorrhagic actinomycotic abscess in pregnancy

Added-Value of Endometrial Biopsy in the Diagnostic and Therapeutic Strategy for Pelvic Actinomycosis

Abdominopelvic actinomycosis: spectrum of imaging findings and common mimickers

Contact Info

Product

Resources

About