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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The mass was located in the abdominal right lower quadrant and right flank, indurated, painful and ill-defined, measuring 10 x 5 cm, with no signs of peritoneal irritation.
Varios autores recomiendan administrar penicilina G intravenosa por un mes y luego reemplazarla por penicilina oral por 6 a 12 meses o por amoxicilina 1,4,16, Abdominal wall actinomycosis is a rare disease associated with the use of intrauterine device and as a complication of abdominal surgery.
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.
We report a 68 year old male with clinical symptoms of flank pain and right lower quadrant mass, associated with fatigue, weakness and weight loss. We present the case of a patient who had an copper intrauterine device IUD for 4 years, with a stone tumour in abdominal wall associated to a set of symptoms which, clinically and radiologically, mimicked a peritoneal carcinomatosis associated to paraneoplastic syndrome, even in the course of an exploratory laparotomy.
Actinomicosis torácica como diagnóstico diferencial de neoplasia: a propósito de un caso
In any case, the surgery itself is not curative, actinokicosis is why the prolonged use of antibiotics is always required. March – April Pages 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. Rev Otorrinolaringol Cir Abdominxl Cuello ; Se dio de alta con amoxicilina abdomiinal completar tres meses. The specimen was sent for histopathological study, concluding the diagnosis of inflammatory pseudotumor secondary to abdominal actinomycosis.
However, if there is preoperative suspicion of actinomycosis diagnosis, it may be treated satisfactory only with antibiotics. Principles and Practice of Infectious Diseases 7th ed. No free fluid in pouch of Douglas Figs. Given the spectacular clinical improvement since the treatment with penicillin began, having ruled out malignant cells in final biopsies and with the only finding of Actinomyces in the cervical—vaginal cytology, the condition is considered a pelvic actinomycosis and it is decided to continue treatment with intravenous penicillin actinomciosis 1 month, and oral amoxicillin for 6 months.
In this article we present the case of a 63 year-old man with no comorbidity, with pulmonary actinomycosis involving the chest wall mimicking a neoplastic process, basing the diagnosis on histopathologic actinomicpsis.
Actinomycosis involving the chest wall: 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.
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Prior to intervention, catheterisation of the uterus is performed due to compromised ureter due to the inflammation, more evident in the left side, with acute left obstructive nephropathy. Actinomycosis should be considered in patients with pelvic actihomicosis or abdominal wall mass that mimics a malignancy.
Abdomnial superior extension of the density areas of soft parts towards the actinomicoiss abdominal wall, with light thickening and hyper enhancement in the right anterior rectum muscle, suggesting secondary involvement Fig. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Endobronchial actinomycosis associated with foreign body: Surg Infect Larchmt13pp.
Rev Chilena Infectol ; 29 4: A painful and swollen right breast in a young male. Pelvic and abdominal wall actinomycosis associated to the use of IUD may simulate a neoplastic disease, and it is therefore frequently treated surgically.
Thoracic actinomycosis with mainly pleural involvement. The need to complete the antibiotic treatment with the surgical drainage of abscesses is controverted.
A computerised axial tomography in this case has more resolution and can confirm the non-malignant nature of the process, avoiding unnecessary surgeries. Endobronchial actinomycosis associated with foreign body. Actinomicosis del hueso maxilar superior.
Under a Creative Commons license. Traditionally, pelvic actinomycosis was considered as secondary to an intra-abdominal infection, such as appendicitis.
Primary actinomycosis of the anterior abdominal wall: Thoracic actinomycosis in the differential diagnosis of neoplasm: 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.
Singap Med J, 47pp. Rev Chil Radiol, 9pp. First the possibility of a new intervention for the resection of the abdominal tumour and potential hysterectomy with double adnexectomy was considered, this idea was discarded when full remission of the lesions was proved in imaging tests.
You can change the settings or obtain more information by clicking here. Conclusions Actinomycosis should be considered in patients with pelvic mass or abdominal wall mass that mimics a malignancy.
Computed axial tomography 2 months after surgery. Treatment combines resection of the mass and prolonged antibiotic therapy, often concluding with a satisfactory outcome. Cir Esp, 71pp. No lesions were reported by endoluminal colonoscopy.
Services on Demand Article. J Emerg Med ; After 6 days of admission, a computerised axial tomography is performed, reporting extensive density areas, 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 actknomicosis to pelvic involvement, with potential secondary involvement, with no significant retrograde distension suggesting obstructive repercussion.