[Acute abdomen with actinomycosis of the colon: A case report].
BACKGROUND
Actinomyces infection is a chronic inflammatory process that can sometimes, clinically and radiographically, closely mimic a malignant tumour, which may lead to giving a delayed or inappropriate treatment.


METHODS
Male 41 years old, with no previous history, with abdominal pain of one month onset, as well as weight loss, intermittent fever and diarrhoea. He developed acute abdomen and underwent surgery, finding a tumour in the distal ileum with necrosis and punctiform perforations. A resection was performed on the affected part of the ileum and colon, as well as an ileostomy using Hartmann's procedure.


CONCLUSIONS
Actinomycosis is a disease that must be considered by the surgeon when faced with a clinical picture of subacute onset with intermittent fever, weight loss, abdominal pain, and even anaemia in patients with abdominal and retroperitoneal abscesses or previous history of surgery.
Servicio de Cirugía General, Hospital de Alta Especialidad Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Puebla, Puebla, México. Electronic address: dra.beatrizgz@hotmail.com.
Beatriz
B
García-Zúñiga
Servicio de Cirugía General, Hospital de Alta Especialidad Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Puebla, Puebla, México.
Marco Tulio
MT
Jiménez-Pastrana
D000006:Abdomen, Acute / Q000209:etiology*; D000196:Actinomycosis / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003092:Colitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D003131:Combined Modality Therapy; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology / Q000601:surgery; D007079:Ileitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D007081:Ileostomy; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D008297:Male; D010538:Peritonitis / Q000188:drug therapy / Q000209:etiology
D000900:Anti-Bacterial Agents; D002981:Clindamycin
Abdomen agudo; Abdominal actinomycosis; Actinomicosis abdominal; Acute abdomen; Cirugía; Surgery