[A case of abdominal actinomycosis presenting as mesenteric mass].
Actinomycosis is an indolent, slowly progressive infection caused by Actinomyces species and usually results in the formation of characteristic clumps called sulfur granules. Depending on the site of primary infection, it is generally classified as cervicofacial, thoracic, and abdominal type. Abdominal actinomycosis is often difficult to diagnose before operation because of its infrequent and chronic disease progression without any characteristic clinical features. In principle, diagnosis is based on histologic demonstration of sulfur granules in pus or surgically resected specimen, and the treatment consists of long-term antibiotic therapy coupled with or without surgical resection. We report a case of abdominal actinomycosis presenting as mesenteric mass adhering to small bowel confirmed by laparoscopic exploration and biopsy. Treatment with intravenous penicillin for 4 weeks followed by additional oral therapy for 11 months resulted in clinical resolution.
Kim
Seok Young
SY
Department of Internal Medicine, Sam Anyang Hospital, Anyang, Korea.
Lee
Hyung Suk
HS
Kim
So Mi
SM
Lee
Won Jun
WJ
Lee
Ji Yeon
JY
Choi
Seung Jin
SJ
Chon
Il Young
IY
Lee
Hyun Jeong
HJ
D000196:Actinomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008643:Mesentery / Q000473:pathology*; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D010400:Penicillin G