B Karaca1, H Tarakci2, E Tumer2, S Calik3, N Sen4, O N Sivrikoz5. 1. Infectious Diseases and Clinical Microbiology Department, Izmir Bozyaka Educational and Research Hospital, Saim Cikrikci cad. No: 59 Bozyaka, Izmir, Turkey. banukaraca@yahoo.com. 2. Infectious Diseases and Clinical Microbiology Department, Izmir Büyükşehir Belediyesi Eşrefpaşa Hastanesi, Izmir, Turkey. 3. Infectious Diseases and Clinical Microbiology Department, Izmir Bozyaka Educational and Research Hospital, Saim Cikrikci cad. No: 59 Bozyaka, Izmir, Turkey. 4. Department of Clinical Microbiology, Izmir Sifa University, Izmir, Turkey. 5. Department of Pathology, Izmir Sifa University, Izmir, Turkey.
Abstract
PURPOSE: Actinomycosis is a progressive, chronic, granulomatous and suppurative disease caused by different types of actinomyces. Instead of chronic suppurative disease, sinus formation can also be seen. Cervicofascial, abdominal and thoracal involvement can occur. Abdominal wall actinomycosis is an infrequent clinical form. Isolated anterior wall actinomycosis is a very rare form of the disease. METHODS: This is an interventional case report. RESULTS: A 62-year-old female patient with abdominal mass was referred to hospital. She had diabetes mellitus. On the examination she had abdominal tenderness. The computerized tomography revealed an irregular density sized 6.5 × 5 × 3.5 cm in the umbilical area. Surgical debridement and incisional biopsy performed. The diagnosis is confirmed by histopathological examination. The patient received parenteral crystalline penicillin treatment and recovered. CONCLUSION: Physicians should consider abdominal wall actinomycosis in the cases of abdominal masses especially in immunosuppressive patients.
PURPOSE:Actinomycosis is a progressive, chronic, granulomatous and suppurative disease caused by different types of actinomyces. Instead of chronic suppurative disease, sinus formation can also be seen. Cervicofascial, abdominal and thoracal involvement can occur. Abdominal wall actinomycosis is an infrequent clinical form. Isolated anterior wall actinomycosis is a very rare form of the disease. METHODS: This is an interventional case report. RESULTS: A 62-year-old female patient with abdominal mass was referred to hospital. She had diabetes mellitus. On the examination she had abdominal tenderness. The computerized tomography revealed an irregular density sized 6.5 × 5 × 3.5 cm in the umbilical area. Surgical debridement and incisional biopsy performed. The diagnosis is confirmed by histopathological examination. The patient received parenteral crystalline penicillin treatment and recovered. CONCLUSION: Physicians should consider abdominal wall actinomycosis in the cases of abdominal masses especially in immunosuppressive patients.
Authors: P Meyer; O Nwariaku; R N McClelland; D Gibbons; F Leach; A I Sagalowsky; C Simmang; D R Jeyarajah Journal: Dis Colon Rectum Date: 2000-06 Impact factor: 4.585