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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Open Access J Contracept, 1pp. Principles and Practice of Infectious Diseases 7th ed. Diagnosis is difficult because it is unusual and behaves like a malignant neoplasm.
Se dio de alta con amoxicilina hasta completar tres meses. Although there are authors who defend abdoninal resection of all the affected tissue, 15 this requires very aggressive and mutilating surgeries in many cases, with a possibility of very serious complications, which may be avoided if the antibiotic treatment is effective, as in our actinomicoss. We present the actinoomicosis 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.
Previous article Next article. Pleural effusion as the major manifestation of actinomycosis. The diagnosis can be masked actinomiocsis inflammatory processes or malignant colonic tumors. Endobronchial actinomycosis associated with foreign body.
Se continuar a navegar, consideramos que aceita o seu uso. Computerised axial tomography upon admission. Computed axial tomography 2 months after surgery. However, if there is preoperative suspicion of actinomycosis diagnosis, it may be treated satisfactory only with antibiotics. This item has received. Si continua navegando, consideramos que acepta su uso.
Actinomicosis torácica como diagnóstico diferencial de neoplasia: a propósito de un caso
Treatment combines resection of the mass and prolonged antibiotic therapy, often concluding with a satisfactory outcome. The accessibility and wide diffusion of on-line publication will provide the opportunity for our scientific colleagues, not only in Latin America, but throughout the world, to share the knowledge and skills of our Mexican surgical community, as well as to provide authors from other countries with a forum for participating in our Journal, in order that we may gain knowledge of surgical specialties throughout the world.
During recent years, we have abdomibal many technological advances in electronic publication. With the suspected diagnosis based on the computed axial tomography of extensive involvement in the pelvic region of an inflammatory-infectious nature, with probable gynaecological dependence, it is decided to abdominnal an exploratory laparotomy.
Background Infection by Actinomyces acfinomicosis a slow progression chronic bacterial disease caused by Gram-positive, anaerobic, non-spore-forming germs typically colonising the mouth, colon and vagina.
Ann Biol Clin, 56pp.
To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. 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.
Right hemicolectomy aactinomicosis ileontransverse anastomosis was performed. Clin Infect Dis ; The proper treatment is penicillin, with surgical drainage of abscesses in the event of therapeutic failure. In any case, the surgery itself is not curative, which is why the prolonged use of antibiotics is always required. Thoracic actinomycosis in the differential diagnosis of neoplasm: Given the abddominal fibrosis and scarce vascularisation of actinomycotic abscesses, the infection has to be given a prolonged treatment with antibiotics, 6 which is why most authors recommend 6—12 months.
There are multiple cases in medical literature of pelvic actinomycosis mimicking malignant neoplasms, 3,4 leading to an entirely different management of the disease.
First the possibility of a new intervention for actinomicoosis 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.
A computerised axial tomography in this case has more resolution and can confirm the non-malignant nature of the process, avoiding unnecessary surgeries. The diagnosis of abdominal actinomycosis was suspected by the finding of the microorganism in cervical cytology together with other cultures and Actinomyces actinomicosjs in pathological studies, confirming the suspicion of a complete cure with empirical treatment with penicillin.
Eur Respir J ; Ann Thorac Surg ; Harrison’s manual of medicine, McGraw-Hill, pp. The postoperative stage evolves torpidly, with fever spikes and pseudo-obstruction symptoms, which lead to antibiotic intravenous treatment with amoxicillin—clavulanic acid, which lowered the hyperthermia.
Pulmonary actinomycosis with thoracic soft tissue mass: 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 Cabeza Cuello ; It’s more common in men.
Nine months later, the patient remains asymptomatic, with no ultrasound scan evidence of abdominal tumours and negative cervical cytology for Actinomyces Fig. Actinomyces in cervical cytology.
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Puede ser encontrado como parte de la microbiota normal en la cavidad oral, nasofaringe y vagina 6,7. Actinomycosis should be considered in patients with pelvic mass or abdominal wall mass that mimics a malignancy.
Anterior superior extension of the density areas of soft parts towards the anterior abdominal wall, with light thickening and hyper enhancement in the right anterior rectum muscle, suggesting secondary involvement Fig.
Scarce non-malodorous purulent material is sent to microbiology, obtained from the fascia Fig. Antibiotic therapy is the first treatment choice and makes a more invasive surgical management unnecessary.
Antibiotic therapy is the first treatment choice and makes a more invasive surgical management unnecessary. Unusual presentation of cervicothoracic actinomycosis complicated by pericardial effusion: Endobronchial actinomycosis associated with foreign body: Computed axial tomography 2 months after surgery.
Diagnostic imaging, total abdominal ultrasound and CT suggested a colonic neoplasia located in the right flank. With no other implants in the rest of the peritoneal cavity.
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 for 1 month, and oral amoxicillin for 6 months.