title: [Abdominal actinomycosis: four cases].
abstract: The abdominal actinomycosis (AA) is a rare and often unrecognised suppurative chronic illness. It is caused by an anaerobic Gram positive bacteria, Actinomyces israelii. Abdominal actinomycosis is responsible for pseudotumoral syndrome often leading, to a large and mutilating surgery whereas a prolonged treatment by antibiotics would have permitted to cure the disease. The diagnosis is obtained generally from anatomopathologic exam. We report four cases of abdominal actinomycosis being revealed by a pseudotumoral syndrome. The diagnosis was only made after surgery. In spite of an active treatment by antibiotics during several months, two of our patients had a relapse of the infectious process. These four observations confirm the diagnostic and therapeutic difficulties previously reported by other authors.
authors.affiliation: Service de Médecine Interne et Maladies Infectieuses, Hopital Fahrat Hached, Sousse, Tunisie.
authors.forename: N
authors.initials: N
authors.lastname: Ghannouchi Jaafoura
authors.forename: N
authors.initials: N
authors.lastname: Kaabia
authors.forename: M
authors.initials: M
authors.lastname: Khalifa
authors.forename: I
authors.initials: I
authors.lastname: Ben Jazia
authors.forename: W
authors.initials: W
authors.lastname: Hachfi
authors.forename: A
authors.initials: A
authors.lastname: Braham
authors.forename: A
authors.initials: A
authors.lastname: Letaief
authors.forename: F
authors.initials: F
authors.lastname: Bahri
mesh_terms: D018784:Abdominal Abscess / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D034861:Abdominal Wall; D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002763:Cholecystectomy / Q000009:adverse effects; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects; D008875:Middle Aged; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D017568:Rectus Abdominis / Q000601:surgery; D012404:Round Ligament of Uterus / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents