title: [Pelvic pseudotumoral actinomycosis with multisegmental lumbosacral root failure. A case report].
abstract: We report a case of pseudotumoral pelvic actinomycosis with lumbosacral spinal involvement in a 21 year-old woman. The radiological work-up showed a pseudotumoral left ovarian lesion extended to sacral spine, which involved the fifth lumbar vertebra. Diagnosis of actinomycosis was established in histopathological examination of the tubo-ovarian mass under laparotomy. After four months of treatment with ofloxacin and rifampicin evolution was marked by improvement of general health and infection, associated to a progressive recovery of motricity of the lower limbs. Early diagnosis of pelvic actinomycosis may prevent the occurrence of rare but severe neurological complications of this disease.
authors.affiliation: Service de chirurgie carcinologique, institut Salah-Azaïz, boulevard du 9-Avril, Bab Saadoun, 1006 Tunis, Tunisie. mh.mtaallah@ms.tn
authors.forename: M H
authors.initials: MH
authors.lastname: Mtaallah
authors.forename: J
authors.initials: J
authors.lastname: Ben Hassouna
authors.forename: T
authors.initials: T
authors.lastname: Bouzid
authors.forename: T
authors.initials: T
authors.lastname: Dhiab
authors.forename: R
authors.initials: R
authors.lastname: Chargui
authors.forename: F
authors.initials: F
authors.lastname: Khomsi
authors.forename: A
authors.initials: A
authors.lastname: Chebbi
authors.forename: M
authors.initials: M
authors.lastname: Hechiche
authors.forename: A
authors.initials: A
authors.lastname: Gamoudi
authors.forename: H
authors.initials: H
authors.lastname: Boussen
authors.forename: K
authors.initials: K
authors.lastname: Rahal
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000328:Adult; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D015242:Ofloxacin / Q000627:therapeutic use; D010049:Ovarian Diseases / Q000382:microbiology; D034161:Pelvic Infection / Q000382:microbiology*; D012293:Rifampin / Q000627:therapeutic use; D012447:Sacrum
chemical_list: D015242:Ofloxacin; D012293:Rifampin