title: Endoscopic detection and therapy of colonic actinomycosis.
abstract: Abdominal actinomycosis is a disease that is difficult to diagnose nonoperatively. Usual manifestations are abscesses and draining sinus tracts. Treatment is typically surgical and requires prolonged intravenous antibiotics. Presented is a patient who underwent surveillance colonoscopy after resection for colon carcinoma. Diagnosis of colonic actinomycosis and subsequent resolution was demonstrated endoscopically after lengthy oral penicillin therapy (2 g/day for 1 yr). This case documents that resection may not be necessary to effect cure of abdominal actinomycosis.
authors.affiliation: Department of Internal Medicine, Macomb Hospital Center, Warren, Michigan.
authors.forename: M H
authors.initials: MH
authors.lastname: Piper
authors.forename: D R
authors.initials: DR
authors.lastname: Schaberg
authors.forename: J M
authors.initials: JM
authors.lastname: Ross
authors.forename: J M
authors.initials: JM
authors.lastname: Shartsis
authors.forename: R W
authors.initials: RW
authors.lastname: Orzechowski
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy*; D000368:Aged; D002908:Chronic Disease; D003092:Colitis / Q000175:diagnosis* / Q000188:drug therapy*; D003113:Colonoscopy; D005260:Female; D006801:Humans; D010406:Penicillins / Q000627:therapeutic use
chemical_list: D010406:Penicillins