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PubMedDate not supplied

[Vesical actinomycosis: rare tumor of the urachus].

A female patient of child-bearing age using an intrauterine device (IUD) consulted our department for a hypogastric mass which turned out to be actinomycosis of the bladder. Antibiotic treatment resolved the infection and removal of the inflammatory mass was unwarranted since infected fistulous tracts had been observed. There appears to be a causal relationship with IUDs, as in genital actinomycosis. Due to the increasing use of contraceptive devices, we are likely to find this type of infection, which might be difficult to distinguish from malignant disease, increasingly frequent in urologic practice.

Actinomycosis↗
PubMed1989

[Cervicofacial actinomycosis. Report of a case].

Actinomycosis is a relatively rare chronic granulomatous infection, which is characterized by the formation of abscesses which tend to form fistulas. Anatomically is classified according to the location of the lesions in cervicofacial, pulmonary and abdominal form. We present a case of cervicofacial actinomycosis and its treatment, emphasizing on the difficulty of the diagnosis of the lesion.

Abscess↗
PubMed1989

[Hepatobiliary actinomycosis. Apropos of 3 cases with pseudocancerous aspects].

Three cases of hepatobiliary actinomycosis are reported. In all cases, carcinoma was initially suspected. One patient underwent cytoaspiration under sonographic guidance. Diagnosis was obtained by autopsy in one case, laparotomy and biopsy in the other cases. Confusion with cancer is frequent in actinomycosis, especially in hepatic lesions.

Actinomycosis↗
PubMed1989

[A case of abdominal actinomycosis following foreign body in the stomach wall].

Recently abdominal actinomycosis is rare. Its diagnosis is difficult because it resembles malignant diseases. We reported a case of abdominal actinomycosis considered to be of the stomach origin and attempted to correlate the radiological findings with the pathological features referring to the previous reports.

Actinomycosis↗
PubMed1989

Actinomycosis: a rare cause of vesicocolic fistula.

We present a case of actinomycosis presenting as a vesicocolic fistula. There are no other such reported cases. The diagnosis, pathogenesis, and treatment of abdominal actinomycosis are reviewed.

Actinomycosis↗
PubMed1989

Pulmonary actinomycosis in a patient with HIV infection.

Pulmonary actinomycosis is a rare clinical entity. It may arise primarily from aspiration of infected oropharyngeal material or secondarily from contiguous spread of cervicofacial or abdominal infection. We report the case of an HIV-seropositive patient with a two-week history of fever, a productive cough, and pleuritic chest pain. Chest x-ray revealed bilateral patchy alveolar infiltrates. Histological examination of transbronchial biopsy specimens revealed acute inflammation and granules with radiating gram-positive filaments with clubbed ends consistent with actinomycosis. The patient responded to intravenous penicillin and is currently well on long-term enteral antibiotic therapy.

Actinomyces↗
PubMed1989

[Cervicofacial actinomycosis: report of a case].

Actinomycotic infection involving the head and neck is not commonly diagnosed and is often a diagnostic enigma to the otolaryngologist. The reasons for this are due to the infrequency of this disease itself, the current general lack of familiarity with this disease and the pronounced sensitivity of actinomyces organisms to most of the common antibiotics in current use. The case reported here is fairly typical of cervicofacial actinomycosis. A 26-year-old man suffering from trismus and a noncharacteristic mass over the right parotidomasseteric region for one month after a lower molar tooth was extracted presented at our hospital. There were many yellowish gritty "sulfur granules" found within the pus when surgical drainage was made. Immediate Gram stain examination of these granules showed numerous filamentous Gram-positive bacilli, some of which showed true branching. Bacterial culture grew only an anaerobic organism which was identified as Actinomyces israelii by biochemical tests. This patient improved after further treatment with intensive intravenous penicillin injections for ten days and prolonged oral tetracycline treatment for two months. We suggest that increased alertness of clinicians and microbiologists to the presence of anaerobic organisms as the cause of cervicofacial infections could result in an earlier and more frequent diagnosis of actinomycosis.

Actinomyces↗
PubMed1988

'Punch' actinomycosis causing osteomyelitis of the hand.

Osseous actinomycosis usually results from direct invasion of bone from adjacent soft-tissue infection. Involvement of the jaw and vertebral column has been frequently reported, but involvement of the bones of the wrist or hand is rare. A patient with osteomyelitis of the distal right first metacarpal bone due to Actinomyces israelii following a punch injury during fisticuffs is described. Review of similar cases revealed a striking association of this type of infection with punch injuries; hence the term, punch actinomycosis. Analysis of the pus in these infections typically reveals sulfur granules; strict anaerobic conditions must be employed to culture the etiologic agent, A israelii. Management of individual cases should include surgical débridement combined with high-dose parenteral penicillin, followed by long-term penicillin therapy, orally.

Actinomycosis↗
PubMed1985

Abdominal wall actinomycosis associated with an IUD. A case report.

Abdominal wall actinomycosis without pelvic organ involvement in users of intrauterine contraceptive devices (IUDs) has not been reported on previously. We encountered one such patient, whose uterine cervix was colonized superficially with Actinomyces. We suggest that systemic actinomycosis be included in the differential diagnosis of pain in IUD users when Actinomyces is found on Papanicolaou smears or in endocervical curettings. Such patients should be treated with appropriate antibiotic therapy, especially prior to any surgical intervention.

Abdominal Muscles↗
PubMedDate not supplied

[Current aspects of digestive actinomycoses. Apropos of a case of hepatic actinomycosis].

A case of hepatic actinomycosis is described in a patient with fascioliasis with Fasciola hepatica. The authors emphasize the abdominal sites of actinomycosis, specially appendix-cecum. Diagnosis, often difficult, is evoked before fistula with yellow granules in the pus. Definitive identification requires anaerobic culture. The treatment with lengthy antibiotic administration is efficient.

Actinomycosis↗
PubMed1988

Actinomycosis of the gallbladder.

Actinomycosis is a chronic suppurative infection usually caused by Actinomyces israeli. It is rarely located in the gallbladder and, if so, it can masquerade as a chronic cholecystitis. The case history of a 54-year-old female patient with actinomycosis of the gallbladder is described, and a survey of the literature is given. Although surgical drainage is the initial treatment of choice, a prolonged postoperative antibiotic treatment is advocated.

Actinomycosis↗
PubMedDate not supplied

Hepatic actinomycosis diagnosed by fine needle aspiration. A case report.

A 43-year-old woman, a long-term intrauterine contraceptive device (IUD) wearer with a history of Actinomyces organisms seen in cervicovaginal smears, developed hepatic actinomycosis 13 months after removal of the IUD. The liver involvement was diagnosed by fine needle aspiration (FNA) cytology and the use of immunocytochemical techniques. Histopathologic examination of a right pelvic mass removed at surgical exploration revealed an Actinomyces tuboovarian abscess, the primary lesion in this case. The importance of cytologic detection of Actinomyces in cervicovaginal smears for the prevention of IUD-related pelvic inflammatory disease (PID) is discussed, as is the usefulness of FNA cytology in the diagnosis of systemic actinomycosis.

Actinomycosis↗
PubMed1986

[Actinomycosis of the colon: clinical, endoscopic, serological and therapeutic aspects].

The case of a 73-year-old woman with extensive abdominal actinomycosis is reported. It appears to be the first case of abdominal actinomycosis in which endoscopic and serologic investigations have been performed before and after medical therapy. Ultrasonography, CT scan and surgical exploration revealed an extensive inflammatory tumor of the sigmoid colon involving the urinary bladder and uterus. Histologic examination revealed typical sulfur granules. Longterm highdose therapy with penicillin was performed.

Actinomyces↗
PubMed1987

[A case of abdominal actinomycosis].

A 43-year-old man, with a chief complaint of abdominal pain and a palpable mass in the lower abdomen, was admitted to this hospital. He had 2-3 episodes of diarrhea monthly for several years. Laparotomy revealed the mass resembling sarcoma, invaded the ileum and bladder and also it had disseminated lesions in the other intraabdominal organs. Resected tissues showed actinomycotic abscess. AB-PC was administered post-operatively, with a satisfactory prognosis. On the 71 patients with abdominal actinomycosis who underwent laparotomy during the past 32 years in Japan, 42 were males and 28 females. Many of them were in their forties or fifties. Some literatures mention the ileocecal region as the usual site of following perforated appendicitis. As far as this review is concerned, however, the transverse colon was as frequently affected as the ileocecal region and it was only in 13 patients that acute appendicitis preceded the infection. Abdominal actinomycosis is not an uncommon disease and should be taken into consideration in the differential diagnosis of the abdominal mass.

Actinomycosis↗
PubMed1987

[A case report of actinomycosis of the lung].

This is the report about a case of the infrequently observed actinomycosis of the lung from the clinical-surgical and pathological-anatomical standpoint. Considering existing publications the picture of the disease is described with this case. In consequence of misinterpretation of clinical-cytological and histological findings and of the picture of the disease during seven months of the postoperative phase a progressive generalized actinomycosis developed. The problems and causes of the error are discussed, also the possibilities to recognize this disease. The difficulties in giving a diagnosis are shown. The protracted illness could be cured in spite of the late start of appropriate therapy.

Actinomycosis↗
PubMed1986

Actinomycosis at multiple colonic sites.

A case of actinomycosis affecting multiple sites in the colon, masquerading as diverticulitis, is presented. Final diagnosis was delayed until a tuboovarian abscess developed that required resection and was found to contain sulfur granules. Bacteriology, pathophysiology, and antibiotic treatment of abdominal actinomycosis is discussed. Difficulties in diagnosis are mentioned.

Abscess↗
PubMed1986

[Abdominal actinomycosis: a rare complication of gastric surgery? Apropos of a case].

One case of abdominal actinomycosis is reported which was detected in a diabetic patient three years after surgery for duodenal peptic ulcer. Gastric actinomycosis is very rare and is usually discovered during surgery for gastric mass. The role of surgery as a predisposing condition to infection is discussed. The diagnosis rely on the characterization of the bacteria in cultures from a discharging wall fistula and on histopathologic examination which reveals the characteristic actinomycotic granules.

Abdomen↗
PubMed1985

[Primary ovarian actinomycosis].

A rare observation--ovarian actinomycosis in a woman of 42 which had clinical manifestations of chronic adnexitis and was diagnosed pathomorphologically--in described. Destructive variant of mycotic process resulted in pelvioperitonitis with a subsequent surgical operation. This case may be referred to as a primary genital actinomycosis.

Actinomycosis↗