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A case of primary hepatic actinomycosis is reported. Multiple liver abscesses were diagnosed in a febrile 60-year-old-man by means of non-invasive techniques such as ultrasonography, CT and radioisotope scans. The aetiology was confirmed by the unusual finding of Actinomyces israelii in anaerobic blood cultures. Other sites were not involved. Early penicillin therapy enabled surgery to be avoided.
We report two cases of actinomycosis of the gallbladder due to Actinomyces naeslundii. Both patients presented with acute cholecystitis. After cholecystectomy with the removal of gallstones each patient made an uneventful recovery. The literature on cholecystitis due to Actinomyces is reviewed.
A case of unusual presentation of actinomycosis of tonsil causing massive unilateral enlargement, mimicking a tumor in a 12-year old girl is reported.
The report a new case of infected urachal cyst. The embryologic origin of the urachus, its anomalies, clinical features, diagnosis and treatment are discussed with the case of a 51 years old man who presented an hypogastric mass with the diagnosis of urachal actinomycosis.
Primary pulmonary actinomycosis is a purulent bronchopulmonary disease mimicking tuberculosis. The histological lesions contain characteristic yellow granules. The organism most frequently responsible for the disease is Actinomyces israeli. We report the first case to our knowledge where Actinomyces odontolyticus seems to be involved.
We report three cases of thoracic actinomycosis whose symptoms were cutaneous tumors on the thorax. Clinical signs and images are described, along with diagnostic procedures. The excellent outcome after antibiotic treatment, which must last at least 6 months, is emphasized as well as the need to keep this disease in mind when certain symptoms and images coincide.
A case report of actinomycosis associated with bony sequestra resulting from a post-operative infection of a dental cyst in a young patient is presented. The need for careful wound debridement as a prophylactic measure is emphasized.
The diagnosis of actinomycosis is not always straightforward. It has been described as a masquerader, and 2 cases are presented which exemplify this. Their mode of presentation and natural history are contrasted.
An extremely rare case of foreign body related actinomycosis of the finger is described. To the best of our knowledge, this condition had not been previously reported. Subtotal excisional biopsy followed by penicillin therapy eventually yielded a well functioning finger.
Actinomycosis is unusual, and rare especially when the lung and the thoracic wall are involved. It is more frequent in immunocompromised patient. US, CT, or MRI are imaging methods of diagnosis with high sensibility to recognise the disease and are able to the management. We point out a rare case in a normal teenager with thoracic abscess.
Cases of actinomycosis, nocardiosis, and actinomycetoma are seen infrequently but consistently in the United States. When they are found, diagnosis can be difficult because of their resemblance to other bacterial, mycobacterial, and fungal infections. This article reviews the clinical presentation, therapy, and laboratory diagnosis of these actinomycetales.
Actinomycosis of the gallbladder is very rare. Herein, we report the case of a 50-year-old man who presented with acute right hypochondrial pain, fever and rigors associated with positive Murphy's sign. Ultrasound showed that the gallbladder had multiple stones and an oedematous thick wall. The preoperative diagnosis was acute cholecystitis. The patient responded to conservative treatment with antibiotics. Laparoscopic cholecystectomy was performed 6 weeks later but was converted to open surgery because of dense adhesions to the duodenum and sealed duodenal perforation. Microscopic examination of the gallbladder showed moderate to severe inflammation with formation of microabscesses and numerous colonies of actinomycetes. We also review the literature on this rare disease. Although surgery is essential, prolonged postoperative antibiotic is required.
This case demonstrates actinomycosis in a previously unreported site, and outlines some of the difficulties encountered in diagnosing and treating this rare but unimportant condition.
A rare case of actinomycosis presenting primarily as a mass in the vallecula is described. The patient was a healthy, 65-year-old Saudi, lady who was not immunocompromised and had no other primary pathology in the oral cavity. The clinical presentation and management of the case are discussed and the relevant literature reviewed.
Actinomycosis of the temporal bone is uncommon. There have only been 24 cases previously reported in the English literature. The responsible organism is Actinomyces israelii, an anaerobic filamentous Gram positive bacterium. While the cervico-facial region is the most common site of the disease, involvement of the temporal bone is rare. The diagnosis can sometimes be made clinically by identification of sulphur granules in a glue-like substrate but in all cases involving the temporal bone, the diagnosis has been made at histopathology. Effective therapy consists of surgery followed by the long-term administration of penicillin.
This work describes the symptoms of actinomycosis (Actinomyces bovis) in several Llamas in a herd raised in Switzerland as well as their therapy. In 5 Llamas a hematological and chemical blood examination was made where low calcium, partially low iron and copper levels were found. Various reasons are discussed which influence the bone metabolism and lead to a higher susceptibility of bone infection.
A case is presented of a 40-year-old man with rapidly progressing symptoms of thoracic medullary compression, initially thought to be caused by metastatic pulmonary malignancy. Further investigations, however, revealed thoracic actinomycosis spreading to the vertebral column and an actinomycotic epidural granuloma was causing medullary compression. After decompression by laminectomy and antibiotic treatment with penicillin there was some neurological improvement. The condition is rare, and some of the diagnostic difficulties are discussed.
Two cases of cervicofacial actinomycosis in pregnancy are described and the refractory nature of the condition in pregnancy is discussed.