[Pelvic pseudotumoral actinomycosis with multisegmental lumbosacral root failure. A case report].
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.
Mtaallah
M H
MH
Service de chirurgie carcinologique, institut Salah-Azaïz, boulevard du 9-Avril, Bab Saadoun, 1006 Tunis, Tunisie. mh.mtaallah@ms.tn
Ben Hassouna
J
J
Bouzid
T
T
Dhiab
T
T
Chargui
R
R
Khomsi
F
F
Chebbi
A
A
Hechiche
M
M
Gamoudi
A
A
Boussen
H
H
Rahal
K
K
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
D015242:Ofloxacin; D012293:Rifampin