[Ovarian actinomycosis].
The authors describe a case of ovarian actinomycosis in a 50-year-old female. The initial signs of adnexitis were followed by tumor signs. The treatment included surgery and specific immunotherapy.
Actinomycosis↗
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[Intracranial actinomycosis].
Actinomycosis is a bacterial infection mainly affecting the cervico-oro-facial area, abdomen and lungs, sometimes spreading to the central nervous system. Extremely rare is the primary cerebral location of the disease.
Actinomyces↗
[Intrauterine device-associated genital actinomycosis. Diagnosis and therapy with reference to five case reports].
Between 1992 and the beginning of 1993, 5 patients attending the gynecological department of the Charité Hospital in Berlin were treated for IUP-associated actinomycosis. The IUP had been used by these women for periods of between five and sixteen years. The primary diagnosis was established on the basis of a histological examination in three cases. In two cases, dysplasias had been diagnosed on the basis of the cytological examination. In one case, the primary diagnosis was suspected by the finding of actinomycetes in the cytological preparation. The treatment of choice is high-dose intravenous penicillin administered over the long term.
Actinomycosis↗
[A case of pelvic actinomycosis in a woman as a complication of long-term IUD use].
The authors present the subsequent case of pelvic actinomycosis which occurred in woman who was using an intrauterine device for 6 years. Because of diversity of opinion, on the base of literature and own experience we propose the management of IUD users with actinomyces.
Actinomycosis↗
[Ureteral stenosis caused by pelvic actinomycosis].
The authors report a case of pelvic actinomycosis causing ureteral obstruction in a 30-year-old woman. An intra-uterine device being in place for 6 years is considered as the main cause. The treatment, which included a laparotomy for abscess drainage, an indwelling double pigtail ureteral stent and a 9 month antibiotherapy led to recovery after an initial relapse.
Actinomycosis↗
Incidence of actinomycosis associated with intrauterine devices.
The incidence of intrauterine device (IUD)-associated cervicovaginal actinomycosis was evaluated. Papanicolaou-stained cervicovaginal smears from 1,520 women with IUDs were reviewed for the presence of Actinomyces-like organisms. The overall colonization rate was 11.4%. The colonization rates for the Progestasert, plastic IUDs and copper IUDs were 14.3%, 10.8% and 6.69%, respectively. The colonization rate appeared to increase with the duration of IUD use. The relatively high cervicovaginal Actinomyces colonization rate suggests that all patients with IUDs should undergo annual cytologic smears, with specific attention given to the presence of Actinomyces-like organisms.
Actinomyces↗
[Thyroid actinomycosis (actinobacteriosis)].
An extremely rare case (the 15th case reported in the literature, according to our knowledge) of the infection with Actinomyces Israeli localized at the level of thyroid gland is presented. Although the clinical and imaging data, the fine needle aspiration biopsy, and the intraoperative aspect clearly suggested the diagnosis of thyroid cancer, the microscopic examination surprisingly identified "sulfur granules", specific to actinomycosis, so that treatment and prognosis were reconsidered.
Actinomycosis↗
[Actinomyces meyeri cutaneous actinomycosis with pulmonary localization].
Infections due to Actinomycosis species are located in the cervico-facial region in 50 to 65 percent of the cases. Extra-cervical cutaneous lesions are exceptional. The most frequently encountered germ is Actinomyces israeli, observed in 85 percent of the cases. We report the case of an Actinomyces meyeri infection which presented as a leg abscess and a pulmonary lesion. There was no cervico-facial localization. There was however a chronic parodontitis. A second germ, Capnocytophaga sp. was isolated from the abscess. This case is of particular interest because of the extracervical localization and the rare species isolated (17 other cases of Actinomyces meyeri infection have been reported). The mechanism of the infection can be better understood in light of pulmonary lesions in the lower right lobe due to inhalation and the coexistence of a buccodental germ in the culture of the leg abscess: buccodental origin of the germ, pulmonary lesion secondary to inhalation, septicaemic dissemination with cutaneous metastases.
Actinomycosis↗
[Actinomycosis of the pelvic organs in a woman].
A case of female patient operated for a tumour in pelvis is presented. The patient was critically emaciated. Macroscopic examination suggested inoperable neoplasma. Histologic examination of the collected specimen has shown actinomycosis. The patient used intrauterine device for one year. Antibiotics produced complete improvement.
Actinomycosis↗
[Thoracic actinomycosis. Two aspects of an infection with protean manifestations].
The authors report two cases of thoracic actinomycosis with contrasting presentations, just as the diagnosis was obtained by different tests underlying the varied aspects of this disease. Indeed this infectious pathology does infrequently mimic tuberculosis or lung cancer with similar clinical and radiological appearances. The particular characteristic of the bacteriological culture and the quasi specific character of the pale, yellow grains on histology are recalled, as well as the different treatments necessary to ensure a cure in 90% of cases.
Actinomycosis↗
[A difficult diagnosis: pelvic-abdominal actinomycosis abscess].
A laparotomy for hysterectomy was performed in a 46-year-old nulliparous woman who had worn an intra-uterine sterilization device for 8 years. The patient was in poor general health and had had abdominal pain and repeated episodes of fever over the preceding 3 months. An abscess of the abdominal muscle was found peroperatively. No perforations of the small or large intestine were observed. The pathology examination yielded the diagnosis of Actinomycosis. Actinomyces israeli is the most frequency observed Actinomycae in humans. It is a saprophyte organism of the intestinal flora, not usually found in the vagina and observed in 3.5% of cervical swabs of patients wearing an intra-uterine device (Gupta bodies). The frequency increases with the duration of insertion and the pathogenicity appears when the immune responses are deficient and/or when a cofactor is involved. Treatment relies on surgical exeresis and prolonged antibiotics (penicillin G or macrolides). Hyperbar treatment is sometimes used.
Abdominal Muscles↗
[Isolated actinomycosis of the omentum simulating appendicitis].
The authors describe in their case-study the history of a 25 years old woman, having the signs of acute abdomen. The patient underwent surgery, with the suspicion of acute appendicitis. It turned out, that the symptoms were due to the isolated actinomycosis of the greater omentum. The authors review the pathogenesis, the phenomenology, diagnosis and the therapy of this uncommon disease. They recommend to consider this special disease of the omentum, in the differential diagnosis of the appendicitis.
Actinomycosis↗
[Renal actinomycosis: a case report].
A 56-year-old male presented with a history of dull pain in the abdomen, accompanied by anorexia and weight loss. On examination, he had a moderate tenderness in the right kidney region. Radiological investigation could not deny renal tumor, and the right kidney was removed. Microscopically, characteristic colonies of actinomyces were seen. Preoperatively it is difficult to differentiate renal actinomycosis and renal tumor. Removal of the involved kidney followed by appropriate antibiotic therapy may be promptly curative.
Actinomycosis↗
[Actinomycosis abscess developing in the rectus muscle. (One case history)].
A 36 year old male patient having an abscess in right rectus muscle's cover 2 years after stomach operation; attended to our hospital. The abscess was discharged. Following this, at 6 months intervals new abscess were formed in left lower and right upper rectus cover and discharged. Samples from abscess were routinely observed microbiologically and for tuberculosis; but the etiologic agent could not be identified. Six months later the patient attended to our hospital with abscess in right lower rectus cover again. The sample taken from the patient was examined thinking actinomycosis. After clinical and microbiological observation, the causative agent was identified as Actinomyces israeli.
Abdominal Muscles↗
The use of fluorescent and special staining techniques in the aspiration of nocardiosis and actinomycosis.
This report outlines the techniques and illustrates the utility of special stains and fluorescent microscopy when applied to aspiration cytology material. This procedure allowed quick and accurate diagnosis of opportunistic infectious organisms, specifically nocardiosis and actinomycosis.
Actinomycosis↗
Actinomycosis of the colon.
A 44-year-old woman with severe pain in the right upper quadrant, simulating acute cholecystitis, was found to have a large tumour in the transverse colon. Cultures from the mass grew Actinomyces israelii. Actinomycosis may often be missed; involvement of the large bowel is not confined to the appendiceal and cecal areas and may simulate other intra-abdominal conditions.
Actinomyces↗
[A case of pulmonary actinomycosis that was difficult to distinguish from pulmonary carcinoma].
A 45-year-old male was admitted with chief complaint of hemoptysis. Prior to admission, a tumor in the S3 segment of the right lung had been detected by chest radiography. Despite a detailed examination after admission, no definite diagnosis was made, and right upper lobectomy was performed. Histopathological examination of the surgically resected tissue led to the diagnosis of pulmonary actinomycosis. In Japan, 52 cases of this condition were reported between 1964 and 1991. This paper discusses the epidemiology, diagnosis and diagnostic imaging of the condition, with reference to the literature.
Actinomycosis↗
Actinomycosis of the uterus.
A 59 year old woman with actinomycosis of the uterus is described. This is the first such case to be reported in Sri Lanka.
Actinomycosis↗