[Abdominal actinomycosis: four cases].
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.
Ghannouchi Jaafoura
N
N
Service de Médecine Interne et Maladies Infectieuses, Hopital Fahrat Hached, Sousse, Tunisie.
Kaabia
N
N
Khalifa
M
M
Ben Jazia
I
I
Hachfi
W
W
Braham
A
A
Letaief
A
A
Bahri
F
F
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
D000900:Anti-Bacterial Agents