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Actinomycosis of the appendix and pelvis: a case report.
J Reprod Med. 2008 Sep; 53(9):711-3.JR

Abstract

BACKGROUND

Actinomycosis is a chronic infection caused by Actinomyces israeli, a gram-positive saprophytic anaerob, a normal inhabitant of the upper intestinal tract.

CASE

We report a case of a 35-year-old female with an intrauterine device (IUD) who appeared in the emergency department with clinical characteristics of appendicitis. Ultrasound and computed tomography were performed, revealing an ovarian tumor formation and acute appendicitis. The patient underwent exploratory laparotomy, unilateral ovarectomy due to acute abscess and finally appendectomy. Diagnosis of actinomycosis was established with the presence of sulphur granules microscopically. The patient received penicillin for an extended period. Two years have passed and no clinical recurrence was mentioned.

CONCLUSION

Actinomycosis is not easily apparent because of its rarity. Inflammatory intestinal and pelvic disease can easily mislead the diagnosis, giving the impression of a neoplastic process. The drug of choice is penicillin, initiating a long-term aggressive therapy. The antimicrobial treatment lasts from 6 months to a year. Prognosis is very good. The role of IUD as a factor in the dissemination of the infection is very important. Physicians should be aware of actinomycosis in cases of abdominopelvic infiltrating masses.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Alexandra General Hospital, Athens, Greece. peitsidi@ath.forthnet.grNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18839829

Citation

Peitsidis, Panagiotis, et al. "Actinomycosis of the Appendix and Pelvis: a Case Report." The Journal of Reproductive Medicine, vol. 53, no. 9, 2008, pp. 711-3.
Peitsidis P, Papadimitriou C, Rodolakis A, et al. Actinomycosis of the appendix and pelvis: a case report. J Reprod Med. 2008;53(9):711-3.
Peitsidis, P., Papadimitriou, C., Rodolakis, A., & Peitsidou, A. (2008). Actinomycosis of the appendix and pelvis: a case report. The Journal of Reproductive Medicine, 53(9), 711-3.
Peitsidis P, et al. Actinomycosis of the Appendix and Pelvis: a Case Report. J Reprod Med. 2008;53(9):711-3. PubMed PMID: 18839829.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Actinomycosis of the appendix and pelvis: a case report. AU - Peitsidis,Panagiotis, AU - Papadimitriou,Christos, AU - Rodolakis,Alexandros, AU - Peitsidou,Aikaterini, PY - 2008/10/9/pubmed PY - 2009/2/12/medline PY - 2008/10/9/entrez SP - 711 EP - 3 JF - The Journal of reproductive medicine JO - J Reprod Med VL - 53 IS - 9 N2 - BACKGROUND: Actinomycosis is a chronic infection caused by Actinomyces israeli, a gram-positive saprophytic anaerob, a normal inhabitant of the upper intestinal tract. CASE: We report a case of a 35-year-old female with an intrauterine device (IUD) who appeared in the emergency department with clinical characteristics of appendicitis. Ultrasound and computed tomography were performed, revealing an ovarian tumor formation and acute appendicitis. The patient underwent exploratory laparotomy, unilateral ovarectomy due to acute abscess and finally appendectomy. Diagnosis of actinomycosis was established with the presence of sulphur granules microscopically. The patient received penicillin for an extended period. Two years have passed and no clinical recurrence was mentioned. CONCLUSION: Actinomycosis is not easily apparent because of its rarity. Inflammatory intestinal and pelvic disease can easily mislead the diagnosis, giving the impression of a neoplastic process. The drug of choice is penicillin, initiating a long-term aggressive therapy. The antimicrobial treatment lasts from 6 months to a year. Prognosis is very good. The role of IUD as a factor in the dissemination of the infection is very important. Physicians should be aware of actinomycosis in cases of abdominopelvic infiltrating masses. SN - 0024-7758 UR - https://www.unboundmedicine.com/medline/citation/18839829/Actinomycosis_of_the_appendix_and_pelvis:_a_case_report_ L2 - http://www.diseaseinfosearch.org/result/414 DB - PRIME DP - Unbound Medicine ER -