Endoscopic detection and therapy of colonic actinomycosis.
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.
Piper
M H
MH
Department of Internal Medicine, Macomb Hospital Center, Warren, Michigan.
Schaberg
D R
DR
Ross
J M
JM
Shartsis
J M
JM
Orzechowski
R W
RW
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
D010406:Penicillins