Download Citation on ResearchGate | Actinomicosis abdominal: revisión de tres casos | Actinomycosis is a chronic, suppurative, granulomatous disease caused. Abstract. Presentamos el caso de una mujer de 67 años con una rara forma de actinomicosis. Clínicamente simulaba una enfermedad inflamatoria intestinal y. La actinomicosis es una enfermedad que debe ser considerada por el cirujano ante un cuadro subagudo de evolución con fiebre intermitente, pérdida de peso, .
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SRJ is a prestige metric based on the idea that not all citations are the same. Computerised axial tomography upon admission.
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Antibiotic therapy is the first treatment choice and makes a more invasive surgical management unnecessary. Clinical case We present the case of a patient, 49 years old, admitted to the emergency department at our hospital who had continuous hypogastric pain for a month associated to 12 kg weight loss, anorexia, nausea and vomiting, with no rhythm alteration or fever.
Actinomycosis is an infrequent infection caused by bacteria from Actinomyces genus that manifests as a chronic, suppurative and progressive disease. Elsevier Churchill Livingstone, Eur J Radiol ; Existen tres formas principales de actinomicosis: Cir Esp, 85pp. The diagnosis of abdominal actinomycosis was suspected by the finding of the microorganism in cervical cytology together with other cultures and Actinomyces negative in pathological studies, confirming the suspicion of a complete cure with empirical treatment with penicillin.
Aim A case report is presented of a patient who had used an intrauterine device for 4 years and developed a stony tumour in the abdominal wall associated with a set of symptoms that, clinically and radiologically, was simulating a peritoneal carcinomatosis associated with paraneoplastic syndrome, even in the course of an exploratory laparotomy.
Si continua navegando, consideramos que acepta su uso. The patient is discharged from the hospital 1 month after the intervention and continues with controls, with complete disappearance of the radiological lesions 2 months after the intervention. Puede ser encontrado como parte de la microbiota normal en actinomixosis cavidad oral, nasofaringe y vagina 6,7. Treatment combines resection of the mass and prolonged antibiotic therapy, often concluding with a satisfactory outcome.
She mentioned a history of eight voluntary abortions and being a carrier of abodminal copper intrauterine device IUD for 4 years, withdrawn 2 months previously during a gynaecological examination. Br Med J,pp. After 6 days of admission, a computerised axial tomography is performed, reporting extensive density actinomicosiis, irregular soft parts obliterating fat planes of the pelvic region, including hypodense areas suggesting fluid collection in the left periuterine and periadnexal regions, with involved uterus and adnexal regions; said involvement has multifocal contact with the rectosigmoideal region, with slight associated wall thickening; several areas of loops contiguous to pelvic involvement, with potential secondary involvement, with actinomicosls significant retrograde distension suggesting obstructive repercussion.
Abdominal ultrasound scan upon admission: She is admitted for examination with this suspected diagnosis. Cir Esp, 71pp. Rev Chilena Infectol ; 29 4: Principles and Practice of Infectious Diseases 7th ed.
J Emerg Med ; We present the case of a patient, 49 years old, admitted to the emergency department at our hospital who had continuous hypogastric pain for a month associated to 12 kg weight loss, anorexia, nausea and vomiting, with no rhythm alteration or fever.
Actinomicosis torácica como diagnóstico diferencial de neoplasia: a propósito de un caso
Computerised axial tomography upon admission. Abdmoinal by Actinomyces is a slow progression chronic bacterial disease caused by Gram-positive, actinomicosks, non-spore-forming germs typically colonising the mouth, colon and vagina. Diagnostic imaging, total abdominal ultrasound and CT suggested a colonic neoplasia located in the right flank. She mentioned a history of eight voluntary abortions and being a carrier of a copper intrauterine device IUD for 4 years, withdrawn 2 months previously during a gynaecological examination.
Rev Otorrinolaringol Cir Cabeza Cuello ; Clinical case The patient attended our hospital with a 2-month history of abdominal pain and symptoms that mimic a paraneoplastic syndrome.
Actinomicosis abdominal que simula neoplasia tumoral maligna del colon
Rev Chil Obstet Ginecol ; Thoracic actinomycosis with mainly pleural involvement. Thoracic actinomycosis – a case report. In this article we present the case of a 63 year-old man with no comorbidity, with pulmonary actinomidosis involving the chest wall mimicking a neoplastic process, basing the diagnosis on histopathologic findings. Pleural effusion as the major manifestation of actinomycosis. Guidelines for manuscript submission can be accessed in this website. Utility of Wang needle aspiration in the diagnosis of actinomycosis.
This item has received. Computed axial tomography 2 months after surgery. Clin Infect Dis ; Abdominal qctinomicosis actinomycosis is a rare disease associated with the use of intrauterine device and as a complication of abdominal surgery.
Am J Roentgenol abdpminal An ultrasound scan may be useful in the diagnosis when the infection is advanced and with pelvic abscesses, but there are many times when images can simulate neoplastic processes. Actinomyces israelii is the main abdmoinal isolated, frequently found as usual endogenous flora of the gastrointestinal tract mucosa; however, occasional mucosal disruptions may cause a chronic granulomatous inflammatory condition with various clinical manifestations.
A computerised axial tomography in this case has more resolution and can confirm the non-malignant nature of the process, avoiding unnecessary surgeries.
Conclusions Actinomycosis should be considered in patients with pelvic mass or abdominal wall mass that mimics a malignancy. Instituto Mexicano del Seguro Social, Report of a case.