[Actinomycosis of the appendix. Report of two cases].
BACKGROUND
We report two patients with actinomycosis of the appendix extending to the caecum and the ileum, and diagnosed postoperatively on histological analysis, the authors reviewed the literature.


METHODS
Actinomycosis of the appendix can be acute or chronic. Diagnosis may be obtained preoperatively on the analysis of aspiration or biopsy material under CT scan control. It is frequently done postoperatively on the analysis of surgical specimen. Actinomycosis can be treated with antibiotics only during six months if the diagnosis is made preoperative, by surgery followed by antibiotics during 6-12 months, according to the extension of the actinomycosis, if the diagnosis is made after surgery, and by a combination of a surgery and antibiotics in complex forms.


CONCLUSIONS
Actinomycosis of the appendix is an infrequent pathology that merits to be known. With antibiotic therapy, we can avoid surgery or wide resections.
Habib
E
E
Service de chirurgie viscérale et thoracique, hôpital Robert-Ballanger, 93602 Aulnay-sous-Bois, France. elias.habib@wanadoo.fr
Aoura
T
T
Mekkaoui
M
M
Elhadad
A
A
D000196:Actinomycosis / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery; D000208:Acute Disease; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001062:Appendectomy; D001065:Appendix / Q000382:microbiology* / Q000473:pathology; D001706:Biopsy; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D011379:Prognosis; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents