title: Primary abdominal wall actinomycosis.
abstract: OBJECTIVE
  Actinomycosis is a progressive, chronic, granulomatous and suppurative disease caused by different types of actinomyces. Instead of chronic suppurative disease, sinus formation can also be seen. Cervicofascial, abdominal and thoracal involvement can occur. Abdominal wall actinomycosis is an infrequent clinical form. Isolated anterior wall actinomycosis is a very rare form of the disease.
  
  
  METHODS
  This is an interventional case report.
  
  
  RESULTS
  A 62-year-old female patient with abdominal mass was referred to hospital. She had diabetes mellitus. On the examination she had abdominal tenderness. The computerized tomography revealed an irregular density sized 6.5 × 5 × 3.5 cm in the umbilical area. Surgical debridement and incisional biopsy performed. The diagnosis is confirmed by histopathological examination. The patient received parenteral crystalline penicillin treatment and recovered.
  
  
  CONCLUSIONS
  Physicians should consider abdominal wall actinomycosis in the cases of abdominal masses especially in immunosuppressive patients.
authors.affiliation: Infectious Diseases and Clinical Microbiology Department, Izmir Bozyaka Educational and Research Hospital, Saim Cikrikci cad. No: 59 Bozyaka, Izmir, Turkey. banukaraca@yahoo.com.
authors.forename: B
authors.initials: B
authors.lastname: Karaca
authors.affiliation: Infectious Diseases and Clinical Microbiology Department, Izmir Büyükşehir Belediyesi Eşrefpaşa Hastanesi, Izmir, Turkey.
authors.forename: H
authors.initials: H
authors.lastname: Tarakci
authors.affiliation: Infectious Diseases and Clinical Microbiology Department, Izmir Büyükşehir Belediyesi Eşrefpaşa Hastanesi, Izmir, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Tumer
authors.affiliation: Infectious Diseases and Clinical Microbiology Department, Izmir Bozyaka Educational and Research Hospital, Saim Cikrikci cad. No: 59 Bozyaka, Izmir, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Calik
authors.affiliation: Department of Clinical Microbiology, Izmir Sifa University, Izmir, Turkey.
authors.forename: N
authors.initials: N
authors.lastname: Sen
authors.affiliation: Department of Pathology, Izmir Sifa University, Izmir, Turkey.
authors.forename: O N
authors.initials: ON
authors.lastname: Sivrikoz
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D034861:Abdominal Wall / Q000382:microbiology* / Q000473:pathology; D000196:Actinomycosis / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D010406:Penicillins
keywords: Abdominal wall; Actinomycosis; Diabetes mellitus