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Actinomycosis of the colon: a rare form of presentation.
Scand J Gastroenterol 2000; 35(1):108-9SJ

Abstract

Actinomycosis is an uncommon entity, caused by an anaerobic bacterium, Actinomyces israelii, which is a component of the human oral and gastrointestinal flora. The cervicofacial region is the commonest site of disease, and the abdomen is the second commonest. In this situation the disease is almost always unifocal and restricted to the right colon, especially to the cecum. We report here the case of a patient with a very rare form of this entity, characterized by multiple foci of abdominal involvement with the most severe lesions localized in the transverse and sigmoid colon. The clinical presentation resembled a picture of colon perforation by cancer or diverticulitis, and the diagnosis was made by histopathologic examination of the lesions removed at surgery. No predisposing factor was found. The infection was successfully treated with a prolonged course of penicillin, after the surgical removal of the lesions.

Authors+Show Affiliations

Dept. of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10672844

Citation

Ferrari, T C., et al. "Actinomycosis of the Colon: a Rare Form of Presentation." Scandinavian Journal of Gastroenterology, vol. 35, no. 1, 2000, pp. 108-9.
Ferrari TC, Couto CA, Murta-Oliveira C, et al. Actinomycosis of the colon: a rare form of presentation. Scand J Gastroenterol. 2000;35(1):108-9.
Ferrari, T. C., Couto, C. A., Murta-Oliveira, C., Conceição, S. A., & Silva, R. G. (2000). Actinomycosis of the colon: a rare form of presentation. Scandinavian Journal of Gastroenterology, 35(1), pp. 108-9.
Ferrari TC, et al. Actinomycosis of the Colon: a Rare Form of Presentation. Scand J Gastroenterol. 2000;35(1):108-9. PubMed PMID: 10672844.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Actinomycosis of the colon: a rare form of presentation. AU - Ferrari,T C, AU - Couto,C A, AU - Murta-Oliveira,C, AU - Conceição,S A, AU - Silva,R G, PY - 2000/2/15/pubmed PY - 2000/3/4/medline PY - 2000/2/15/entrez SP - 108 EP - 9 JF - Scandinavian journal of gastroenterology JO - Scand. J. Gastroenterol. VL - 35 IS - 1 N2 - Actinomycosis is an uncommon entity, caused by an anaerobic bacterium, Actinomyces israelii, which is a component of the human oral and gastrointestinal flora. The cervicofacial region is the commonest site of disease, and the abdomen is the second commonest. In this situation the disease is almost always unifocal and restricted to the right colon, especially to the cecum. We report here the case of a patient with a very rare form of this entity, characterized by multiple foci of abdominal involvement with the most severe lesions localized in the transverse and sigmoid colon. The clinical presentation resembled a picture of colon perforation by cancer or diverticulitis, and the diagnosis was made by histopathologic examination of the lesions removed at surgery. No predisposing factor was found. The infection was successfully treated with a prolonged course of penicillin, after the surgical removal of the lesions. SN - 0036-5521 UR - https://www.unboundmedicine.com/medline/citation/10672844/Actinomycosis_of_the_colon:_a_rare_form_of_presentation_ L2 - http://www.tandfonline.com/doi/full/10.1080/003655200750024623 DB - PRIME DP - Unbound Medicine ER -