Computed Tomography Guided Core Needle Biopsy Diagnosis of Pelvic Actinomycosis

Lee, Yi-Chun; Min, Dorothy; Holcomb, Kevin; Buhl, Allen E.; DiMaio, Therese; Abulafia, Ovadia

doi:10.1006/gyno.2000.5994

Cited by 51 publications

(46 citation statements)

References 7 publications

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“…These organisms exhibit varying degrees of pathogenicity and are isolated from different infective foci, ranging from common oral infections, such as gingivitis, periodontal diseases, and caries, to lethal systemic infections, such as hepatic actinomycosis [Sugano et al, 1997], pulmonary actinomycosis [Baik et al, 1999] and pelvic actinomycosis [Lee et al, 2000]. Of the species investigated, A. bovis, commonly considered a pathogen of animals, sometimes infects humans and rarely causes septicaemia and hepatic abscesses [van Marion et al, 1982].…”

Section: Discussionmentioning

confidence: 99%

<i>Actinomyces</i> spp. in Supragingival Plaque of Ethnic Chinese Preschool Children with and without Active Dental Caries

Tang

Yip²,

Samaranayake

et al. 2003

Caries Res

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Very limited molecular epidemiological data are available on the role of Actinomyces spp. in the pathogenesis of caries in the primary dentition. Therefore, we investigated their distribution in supragingival plaque of ethnic Chinese preschool children from Singapore and Hong Kong, either with or without active caries. Plaque samples were taken from intact interproximal enamel areas using dental floss. Bacterial genomic DNA of each sample was extracted and variable regions of 16S ribosomal DNA amplified and labelled with digoxigenin. Oligonucleotide probes specific for Actinomyces bovis, Actinomyces gerencseriae, Actinomyces israelii, Actinomyces meyeri, Actinomyces odontolyticus, catalase-negative Actinomyces naeslundii (genospecies 1 and 2) and catalase-positive Actinomyces naeslundii genospecies 2 (previously Actinomyces viscosus serotype II) were used to detect these species using Southern hybridization with a Minislot and Miniblotter system. A. odontolyticus, A. gerencseriae and A. meyeri were detected with similar frequency in both Singapore and Hong Kong samples or in those with and without active caries. However, the prevalence of A. naeslundii was significantly different in the two locales (p < 0.05). A. odontolyticus (88.7%), A. gerencseriae (56.6%) and A. naeslundii (50.9%) were detected in a majority of the samples and the positive hybridization signals of A. gerencseriae in the caries-active group were stronger than from the caries-free group. A. bovis and A. israelii were undetectable in any of the samples. These data imply that A. odontolyticus, A. naeslundii and A. gerencseriae may play an important role in supragingival plaque formation on primary teeth in ethnic Chinese, with others such as A. meyeri contributing.

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Section: Discussionmentioning

confidence: 99%

<i>Actinomyces</i> spp. in Supragingival Plaque of Ethnic Chinese Preschool Children with and without Active Dental Caries

Tang

Yip²,

Samaranayake

et al. 2003

Caries Res

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“…Bu tekniğin hastanın üreme fonksiyonlarını koruyacak etkili bir yöntem olduğu akılda tutulmalıdır. [1,18] Olgumuzda cerrahi girişimle pelvik abse net bir şekilde görülmüş olup, salphingo-ooferektomi ve subtotal histerektomi yapıldı.…”

Section: Discussionunclassified

“…[1,2] Klinikte serviko-fasiyal, abdominal, pelvik, torasik ve çok ender serebral kütanöz türleri ile karşı-mıza çıkmakta, belirti bulgular yönünden fungal enfeksiyonlar ve malignite ile karıştırılarak tanısal pratikte zorluklara sebep olmaktadır. [3] Nadir görül-en bir enfeksiyon hastalığı olması, cerrahi öncesi tanıda güçlükler yaşanması sebebiyle tanı ve tedavisinde literatürdeki olgu sunumları yardımcı olmaktadır.…”

Section: Introductionunclassified

Use of intrauterin device and pelvic actinomycosis: Case report

Kadıoğlu¹,

Alay²,

Şahiner³

et al. 2017

tahd

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“…When the diagnosis is suspected, confirmation can be obtained with FNA or core biopsy, performed with radiological guide or during surgical exploration [10]. Unfortunately, authors report highly variable rates (1-50%) of isolation of A. species from the histological material [3,5].…”

Section: Discussionmentioning

confidence: 99%

Intra-abdominal actinomycosis, the great mime: case report and literature review

Montori¹,

Allegri²,

Merigo³

et al. 2015

Emerg Med Health Care

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Background: Actinomycosis is a rare, insidious, infectious disease. Cervicofacial, thoracic and abdominopelvic districts are most commonly involved. Its tendency to involve surrounding structures may mimic a tumor on imaging studies. Early diagnosis, obtained with mini-invasive methods or surgical biopsy, is fundamental to optimize therapeutic approach and to reduce morbidity due to aggressive surgery. Antibiotic therapy is the cornerstone of the treatment of actinomycosis, but the combination with a surgical resection can be necessary in patients who do not respond to medical treatment. Methods: A 66-years old female presented at our attention with an abdominal, retroperitoneal mass found during clinical tests for a vertiginous syndrome. Patient presented with asthenia, anorexia, weight loss, and sacral pain. A retroperitoneal mass, studied with Computed tomography (CT) and Positron emission tomography (PET), was found. No inflammatory signs were found in laboratory tests. Previous core biopsies did not provide the expected results. Cause of that, the patient was prepared for a surgical laparoscopic biopsy and ureteral stenting. After frozen biopsies, histological findings have identified filaments of Actinomyces. No apparent cause of this infection has been identified at first exploration. Results: The patient was treated with antibiotic therapy for three months (Amoxicillin: 1g three times daily). At three months first follow-up, the CT shows the reduction of the retroperitoneal mass and the presence of diverticulosis of the sigma near the mass, in absence of signs of fistulisation. Conclusion: Abdominopelvic actinomycosis should be considered in patients with unusual abdominal mass on abdominal CT or PET. Early diagnosis is necessary to avoid aggressive surgery and its morbidities. Open/laparoscopic surgical biopsy is often necessary to identify the infection. Antibiotic therapy is the standard treatment but surgery can help to optimize medical approach removing necrotic tissue and persistent sinuses.

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Computed Tomography Guided Core Needle Biopsy Diagnosis of Pelvic Actinomycosis

Cited by 51 publications

References 7 publications

<i>Actinomyces</i> spp. in Supragingival Plaque of Ethnic Chinese Preschool Children with and without Active Dental Caries

<i>Actinomyces</i> spp. in Supragingival Plaque of Ethnic Chinese Preschool Children with and without Active Dental Caries

Use of intrauterin device and pelvic actinomycosis: Case report

Intra-abdominal actinomycosis, the great mime: case report and literature review

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