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Pelvic actinomycosis in association with an intrauterine device.

A case of pelvic actinomycosis is described which occurred in association with the use of an intrauterine device (IUD). Initially medical management alone was used, but surgical intervention was necessitated for multiple pelvic abscesses. We would strongly recommend that any IUD be removed should it be associated with actinomyces on genital smears and/or culture. If sepsis is also apparent, IUD removal with use of long-term antibiotics is required.

Actinomycosis↗

[Clinical analysis of pulmonary actinomycosis].

A clinical analysis of four patients diagnosed as pulmonary actinomycosis in our respiratory division during the last seven years was performed. All of the patients were males with an average age of 61 years. Three patients had a past history. The clinical diagnosis on admission was lung cancer or pulmonary suppuration in three patients showing a mass-like shadow and pneumonia in one patient with an infiltration shadow. Suspected pulmonary infectious disease was detected from clinical symptoms in two patients, while suspected lung cancer was detected in the other two patients during health examinations. The lesions dominantly existed in the right upper lobe. Such findings as central low attenuation (LAA), bronchiectasis and pleural thickening were characteristic on chest computed tomography (CT). The diagnostic methods were all negative procedures; video-assisted thoracoscopic surgery (VATS) in two patients, a specimen obtained by bronchoscopy in one and a specimen taken by percutaneous aspiration in one. Because penicillin antibiotics were administered for a long time for all patients after obtaining a definite diagnosis, the prognosis was good and there were no relapse.

Actinomycosis↗

Childhood actinomycosis. Report of 3 recent cases.

Three cases of childhood actinomycosis are reported, 2 with the commonest presentation of cervicofacial abscess and the third with a rarely reported superficial chest wall abscess. The importance of prompt bacteriological diagnosis and adequate treatment with surgical drainage and chemotherapy is stressed. Though in adults males are affected more frequently than females, the sexes are probably equally affected in childhood.

Actinomyces↗

Endobronchial actinomycosis mimicking pulmonary neoplasm.

A 60 year old man had recurrent pneumonia. Bronchoscopy disclosed a necrotic mass in the left lower lobe bronchus, which histological examination showed to contain sulphur granules. The endobronchial mass had disappeared by the second bronchoscopy one week later. The patient was treated with penicillin for one year and was cured. Actinomycosis must be included in the differential diagnosis of an endobronchial mass.

Actinomycosis↗

Pelvic actinomycosis.

A case of actinomycosis involving the pelvic cavity is reported. The patient had a pelvic mass clinically and radiographically. Barium enema examination showed a mass with extrinsic compression and fixed narrowing of the rectum with mucosal irregularity. A computed tomographic scan showed a pelvic mass displacing the rectum.

Actinomycosis↗

Systemic actinomycosis mimicking pelvic malignancy with pulmonary metastases.

A 40-year-old woman presented with profound weight loss, anemia and multiple pulmonary nodules. Further investigation revealed a hepatic abscess and a pelvic mass associated with an intrauterine device. Cultures of the hepatic abscess and from peripheral blood demonstrated Actinomyces species. The patient underwent an exploratory laparotomy and hysterectomy. Pathological examination showed characteristic sulphur granules of actinomycosis. Long-term therapy with high-dose intravenous penicillin resulted in clinical and radiographic improvement.

Abscess↗

Actinomycosis caecum. A case report.

A case of caecal actinomycosis presenting as a lump in the right iliac fossa is discussed. A right hemicolectomy was performed with complete cure. Clinical awareness of this condition is necessary for proper management and to differentiate it from tumour.

Actinomycosis↗

Actinomycosis of urachal remnants.

A case of actinomycosis of the urachus is described. A 25-year-old woman presented with a midline mass below the umbilicus. The differential diagnosis included an inflammatory or a neoplastic lesion. Diagnosis was made by histologic examination, after complete excision of the tumour. Post-operative penicillin was given and the patient's recovery was uneventful. A review of the literature is presented with special reference to the pathogenesis and treatment.

Actinomycosis↗

Actinomycosis meningitis in a girl with incontinentia pigmenti.

A 7-year-old girl with incontinentia pigmenti and a history of multiple bacterial infections developed chronic meningitis with Actinomycosis odontolyticus, which was successfully treated with long-term penicillin administration. Although all tests of immunologic function were normal in this patient, her history of recurrent and unusual infections is consistent with previous suggestions of an undefined immunodeficiency state associated with incontinentia pigmenti.

Actinomycosis↗

Actinomycosis: the disease and its treatment.

A case of pulmonary actinomycosis is described in a patient who presented with fever, weight loss, and a painful mass on his lower anterior left rib cage. Gram-stain and culture and sensitivity tests performed on the fluid drawn of the chest wall mass revealed Actinomyces israelii as the infecting organism. The patient was successfully treated with long-term penicillin therapy. A review of this rare bacterial disease is presented, emphasizing its treatment and its similarities and differences to other bacterial and fungal diseases.

Actinomycosis↗

Pulmonary actinomycosis.

Pulmonary actinomycosis is a rare but important and challenging diagnosis to make. Even when the clinical suspicion is high, the disease is commonly confused with other chronic suppurative lung diseases and with malignancy. An early, accurate diagnosis will prevent the considerable psychological and physical morbidity, including unwarranted surgery, associated with delayed diagnosis. The clinical, radiological and therapeutic characteristics of the infection are reviewed here. Respiratory physicians should be aware of this important differential when investigating patients for persistent pulmonary shadowing. This will expedite the diagnosis of an otherwise highly treatable condition with an excellent prognosis if picked up early.

Actinomycosis↗

Local utilization of metacresolsulfonic acid combined with streptomycin in the treatment of actinomycosis.

The effectiveness of combining metacresolsufonic acid with streptomycin in the treatment of actinomycosis, diagnosed either clinically or in the laboratory, was evaluated in 12 bovines and 2 equines. Eighty-seven percent of treated animals were considered clinically cured and did not show any signs of relapse after a six-month follow-up period. Therapeutic diagnosis by clinical observation was the procedure of choice when it was not possible to obtain laboratory diagnosis.

Actinomycosis↗

Disseminated actinomycosis with spinal cord compression: report of two cases.

We studied two patients with vertebral actinomycosis and symptoms of spinal cord compression. Both patients had a chronic illness characterized by multiple draining skin lesions, weight loss, and progressive leg weakness. They responded to antibiotic therapy and corticosteroids without neurosurgical intervention. The patients were treated with antibiotics for 12 months, and remained well, without major neurologic disorder, for 2 years after stopping medication.

Actinomyces↗

Pulmonary actinomycosis. A cause of endobronchial disease in a patient with AIDS.

We report a case of a 47-year-old man with AIDS who presented with fever, cough and a lingular infiltrate. Flexible fiberoptic bronchoscopy revealed an endobronchial exophytic mass with extensive purulent exudate which on Gram stain and cytology from bronchial washings revealed Actinomyces infection. There was a clinical response to penicillin therapy, and on repeat bronchoscopic examination, there was a partial resolution of the endobronchial infection. To our knowledge, this is the first known case of endobronchial pulmonary actinomycosis in a patient with AIDS.

AIDS-Related Opportunistic Infections↗