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[Actinomycosis resembling an ovarian malignancy].
Ned Tijdschr Geneeskd. 2012; 156(16):A4511.NT

Abstract

BACKGROUND

Actinomyces is an uncommon cause of infection which can occur in the lower pelvic area in women using an intrauterine device (IUD). The clinical presentation of actinomycosis can easily be confounded with a malignancy.

CASE DESCRIPTION

In a 53-year-old woman with abdominal pain and fluctuating temperature, ovarian carcinoma was strongly suspected. She underwent a laparotomy in which both adnexae were removed. Histopathological examination of the specimens revealed, however, a rare Actinomyces infection. The patient received long-term antibiotic therapy in the postoperative period, upon which her condition improved.

CONCLUSION

Differentiation between actinomycosis (mycetoma) and a malignancy is difficult. There are few diagnostic tools to demonstrate an Actinomyces infection, and the diagnosis is therefore often not made until during or after operation. The treatment of actinomycosis consists of long-term administration of antibiotics, although combined surgery and antibiotic therapy is often necessary due to the extent of the infection.

Authors+Show Affiliations

Leids Universitair Medisch Centrum, Afd. Gynaecologie, Leiden, the Netherlands. S.R.C.Driessen@lumc.nlNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

dut

PubMed ID

22510419

Citation

Driessen, Sara R C., et al. "[Actinomycosis Resembling an Ovarian Malignancy]." Nederlands Tijdschrift Voor Geneeskunde, vol. 156, no. 16, 2012, pp. A4511.
Driessen SR, den Hartog WC, Peters AA. [Actinomycosis resembling an ovarian malignancy]. Ned Tijdschr Geneeskd. 2012;156(16):A4511.
Driessen, S. R., den Hartog, W. C., & Peters, A. A. (2012). [Actinomycosis resembling an ovarian malignancy]. Nederlands Tijdschrift Voor Geneeskunde, 156(16), A4511.
Driessen SR, den Hartog WC, Peters AA. [Actinomycosis Resembling an Ovarian Malignancy]. Ned Tijdschr Geneeskd. 2012;156(16):A4511. PubMed PMID: 22510419.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Actinomycosis resembling an ovarian malignancy]. AU - Driessen,Sara R C, AU - den Hartog,Wietske C E, AU - Peters,Alexander A W, PY - 2012/4/19/entrez PY - 2012/4/19/pubmed PY - 2012/6/5/medline SP - A4511 EP - A4511 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 156 IS - 16 N2 - BACKGROUND: Actinomyces is an uncommon cause of infection which can occur in the lower pelvic area in women using an intrauterine device (IUD). The clinical presentation of actinomycosis can easily be confounded with a malignancy. CASE DESCRIPTION: In a 53-year-old woman with abdominal pain and fluctuating temperature, ovarian carcinoma was strongly suspected. She underwent a laparotomy in which both adnexae were removed. Histopathological examination of the specimens revealed, however, a rare Actinomyces infection. The patient received long-term antibiotic therapy in the postoperative period, upon which her condition improved. CONCLUSION: Differentiation between actinomycosis (mycetoma) and a malignancy is difficult. There are few diagnostic tools to demonstrate an Actinomyces infection, and the diagnosis is therefore often not made until during or after operation. The treatment of actinomycosis consists of long-term administration of antibiotics, although combined surgery and antibiotic therapy is often necessary due to the extent of the infection. SN - 1876-8784 UR - https://www.unboundmedicine.com/medline/citation/22510419/[Actinomycosis_resembling_an_ovarian_malignancy]_ L2 - http://www.ntvg.nl/A4511 DB - PRIME DP - Unbound Medicine ER -