[Abdominal actinomycosis. Report of three cases and review of the literature].
Actinomyces are Gram positive, anaerobic, filamentous bacteria, saprophytes of the oral cavity and intestinal tract of humans. They rarely cause chronic suppurative infections. Abdominal abscess can masquerade as a malignant process and lead to a surgical intervention with resection. We report three patients with abdominal actinomycosis; the first affected the liver with a favorable outcome on medical treatment, the second of abdomino-pelvic localisation was related to an intra-uterine device and the last affecting the transverse colon simulated a malignant process and required an hemicolectomy. These observations illustrates the difficulties of the diagnosis of this rare and unrecognized disease.
Polyclinique El Farrabi, Tunis, Tunisie.
C
C
Kacem
F
F
Puisieux
A
A
Kammoun
M
M
Morched Abdesselam
A
A
Zaouche
D018784:Abdominal Abscess / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D000196:Actinomycosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D000328:Adult; D001706:Biopsy; D003082:Colectomy; D003108:Colonic Diseases / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects; D008100:Liver Abscess / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D010406:Penicillins; D010400:Penicillin G