Difficultés diagnostiques et thérapeutiques de l’actinomycose abdominale : à propos d’une observation chez une patiente tunisienne

Baraket, Oussema; Itaimi, Ahmed; Triki, Wissem; Moussa, Mounir Ben; Ayed, Karim; Hmida, S. Ben; Haggari, A.; Kort, B.; Bouchoucha, Sami

doi:10.1007/s13149-016-0482-5

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…The extemporaneous examination sometimes makes it possible to correct the diagnosis, thus avoiding large, difficult, and useless excisions [11, 19]. Notably, other differential diagnoses such as cancer, tuberculosis, Crohn’s disease, amoebiasis, or appendicitis are to be considered in such cases [3, 21]. The treatment is mainly based on intravenous penicillin antibiotics, with oral relay for 6–12 months to prevent recurrence [16, 22].…”

Section: Discussionmentioning

confidence: 99%

Pseudotumoral Actinomycosis Mimicking Malignant Colic Disease: A Case Report and Literature Review

Jabi¹,

Ramdani²,

Elmir³

et al. 2019

Visc Med

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Abdominal actinomycosis is a rare, chronic, and often unrecognized suppurative disease. It is caused by an anaerobic gram-positive bacterium, most commonly Actinomyces israeli. Colonic actinomycosis is rarely reported and may be responsible for a pseudotumoral syndrome leading, in the suspicion of malignancy, to a large and mutilating excisional surgery. It is usually the histopathological examination of the surgical specimens that accurately corrects the diagnosis. Here, we report a rare case of a colic actinomycotic involvement taking a pseudotumoral form. The diagnosis was made based on the pathological examination of the surgical piece. Intravenous and then adjuvant oral penicillin G treatment has allowed a favorable clinical evolution. This observation illustrates the preoperative diagnostic difficulties of this rare disease.

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Section: Discussionmentioning

confidence: 99%

Pseudotumoral Actinomycosis Mimicking Malignant Colic Disease: A Case Report and Literature Review

Jabi¹,

Ramdani²,

Elmir³

et al. 2019

Visc Med

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“…Microorganisms from Actinomyces spp. are opportunistic pathogens that are usually present in the tonsillar crypts, oral cavity, and gastrointestinal and genital flora of healthy individuals, and play an important role in soil ecology 2 , 3. In 1878, James Israel, a German surgeon, was the pioneer in demonstrating this infection in humans, reporting two cases of actinomycosis 4 , 5…”

Section: Discussionmentioning

confidence: 99%

Abdominal and pelvic actinomycosis due to longstanding intrauterine device: a slow and devastating infection

Nakahira

Maximiano

Lima

et al. 2017

ACR

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Actinomycosis is a chronic or subacute bacterial infection characterized by large abscess formation, caused mainly by the gram-positive non-acid-fast, anaerobic, or microaerophilic/capnophilic, obligate parasites bacteria from the Actinomyces genus. Although pelvic inflammatory disease is an entity associated with the longstanding use of intrauterine devices (IUDs), actinomycosis is not one of the most frequent infections associated with IUDs. We present the case of a 43-year-old female patient who was referred to the emergency facility because of a 20-day history of abdominal pain with signs of peritoneal irritation. Imaging exams revealed collections confined to the pelvis, plus the presence of an IUD and evidence of sepsis, which was consistent with diffuse peritonitis.An exploratory laparotomy was undertaken, and a ruptured left tubal abscess was found along with peritonitis, and a huge amount of purulent secretion in the pelvis and abdominal cavity. Extensive lavage of the cavities with saline, a left salpingo-oophorectomy, and drainage of the cavities were performed. The histopathological examination of the surgical specimen revealed an acute salpingitis with abscesses containing sulfur granules. Therefore, the diagnosis of abdominal and pelvic actinomycosis was made. The postoperative outcome was troublesome and complicated with a colocutaneous fistula, which drained through the surgical wound. A second surgical approach was needed, requiring another extensive lavage and drainage of the recto-uterine pouch, plus the performance of a colostomy. Broad-spectrum antibiotics added to ampicillin were the first antimicrobial regimen followed by 4 weeks of amoxicillin during the outpatient follow-up. The patient satisfactorily recovered and is already scheduled for the intestinal transit reconstitution.

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Difficultés diagnostiques et thérapeutiques de l’actinomycose abdominale : à propos d’une observation chez une patiente tunisienne

Cited by 2 publications

References 5 publications

Pseudotumoral Actinomycosis Mimicking Malignant Colic Disease: A Case Report and Literature Review

Pseudotumoral Actinomycosis Mimicking Malignant Colic Disease: A Case Report and Literature Review

Abdominal and pelvic actinomycosis due to longstanding intrauterine device: a slow and devastating infection

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