2004
DOI: 10.1590/s1677-55382004000500002
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Abstract: Pelvic actinomycosis mimics pelvic malignancy and may be associated with the long-term use of intra-uterine contraceptive devices, and persistent urachal remnants. Removal of infected mass and antibiotic therapy will eradicate the inflammatory process.

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Cited by 30 publications
(29 citation statements)
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“…After surgery, the patient should receive 1-2 million units of penicillin, continuing for 12-18 months. If the diagnosis is made at the time of surgery, treatment consists of 10-20 million units of intravenous penicillin, followed by a long-term oral penicillin therapy [14] . Urological procedures are necessary to differentiate actinomycosis from invasive bladder cancer or benign tumours, and the diagnosis is made pathologically [15,16] .…”
Section: Discussionmentioning
confidence: 99%
“…After surgery, the patient should receive 1-2 million units of penicillin, continuing for 12-18 months. If the diagnosis is made at the time of surgery, treatment consists of 10-20 million units of intravenous penicillin, followed by a long-term oral penicillin therapy [14] . Urological procedures are necessary to differentiate actinomycosis from invasive bladder cancer or benign tumours, and the diagnosis is made pathologically [15,16] .…”
Section: Discussionmentioning
confidence: 99%
“…These can be accompanied by constitutional symptoms and mass-effect, such as obstruction or visceral pressure sensation. 7,8 Due to non-specific symptom profiles, clinical diagnosis of actinomycosis is made with difficulty.…”
Section: Pathophysiologymentioning
confidence: 99%
“…Sulfur granules are often seen in biopsy specimens, but may also be detected in urine cytology as an initial clue to the etiology. 7,9 Microscopic analysis of tissue should demonstrate Gram positive bacilli with the appearance of filaments and hypea. Inflammatory tissue change should also be present.…”
Section: Diagnosismentioning
confidence: 99%
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“…Also, it was recorded as a late sequel of orthopedic procedures, acetabulum in particular [7,8]. Vesico-cutaneous fistula was reported in a case of chronic pelvic actinomycosis [9], which is a hard inflammatory mass caused by specific bacterial infection. On the other hand, vesicococcygeal fistula developed in a case of bladder malakoplakia, which is another rare inflammatory lesion affecting the bladder endothelial.…”
Section: Commentsmentioning
confidence: 99%