La actinomicosis es una infección poco común causada por bacterias del género . Schalper K, Piérart C. Análisis de la presencia de actinomicosis pélvica en. Download Citation on ResearchGate | ACTINOMICOSIS GINECOLOGICA | Actinomycosis is an infectious disease. It may lead to sequels and may cause death. Antecedentes: La actinomicosis de pared abdominal es un cuadro clínico poco frecuente, aso .. Jabib A, Ferreiro J, Chappe M, Albini M. Actinomicosis pélvica.
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During recent years, we have witnessed many technological advances in electronic publication. The accessibility and wide diffusion of on-line publication will provide the opportunity for our scientific colleagues, not only in Latin America, but throughout the world, to share the knowledge and skills of our Mexican surgical community, as well as to provide authors actinlmicosis other pelviac with a forum for participating in our Journal, in order that we may gain knowledge of surgical specialties throughout the world.
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The Mexican Academy of Surgery is pleased to offer this on-line publication without fees or subscription. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years.
SRJ is a prestige metric based on the idea that not all citations are the same. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Abdominal wall actinomycosis is a rare disease associated with the use of intrauterine device and as a complication of abdominal surgery. Diagnosis is difficult because it is unusual and behaves like a malignant neoplasm. A case report is presented of a patient who had used an intrauterine device for 4 years and developed a stony tumour in the abdominal wall associated with a set of symptoms that, clinically and radiologically, was simulating a peritoneal carcinomatosis associated with paraneoplastic syndrome, even in the course of an exploratory laparotomy.
The patient attended our hospital with a 2-month history of abdominal pain and symptoms that mimic a paraneoplastic syndrome. The diagnosis of abdominal actinomycosis was suspected by the finding of the microorganism in cervical cytology together with other cultures and Actinomyces negative in pathological studies, confirming the suspicion of a complete cure with empirical treatment with penicillin.
Actinomycosis should be considered in patients with pelvic mass or abdominal wall mass that mimics a malignancy.
Antibiotic therapy is the first treatment choice and makes a more invasive surgical management unnecessary. Infection by Actinomyces is a slow progression chronic bacterial disease caused by Gram-positive, anaerobic, non-spore-forming germs typically colonising the mouth, colon and vagina.
There are multiple cases in medical literature of pelvic actinomycosis mimicking malignant neoplasms, 3,4 leading to an entirely different management of the disease. The proper treatment is penicillin, with surgical drainage of abscesses in the event of therapeutic failure.
We present the case of a patient who had an copper intrauterine device IUD for 4 years, with a stone tumour in abdominal wall associated to a set of symptoms which, clinically and radiologically, mimicked a peritoneal carcinomatosis associated to paraneoplastic syndrome, even in the course of an exploratory laparotomy.
We present the case of a patient, 49 years old, admitted to the emergency department at our hospital who had continuous hypogastric pain for a month associated to 12 kg weight loss, anorexia, nausea and vomiting, with no rhythm alteration or fever.
She mentioned a history of eight voluntary abortions and being a carrier of a copper intrauterine device IUD for 4 years, pelica 2 months previously during a gynaecological examination.
Laboratory results upon admission to the emergency department proved severe anaemia haemoglobin actinomicodis. Tumour markers Ca and Ca No free fluid in pouch of Acginomicosis Figs.
Abdominal ultrasound scan actinomicosus admission: She is admitted for examination with this suspected diagnosis. During examination, fever spikes of up to After 6 days pelvic admission, a computerised axial actinomicosiss is pelica, reporting extensive density areas, irregular soft parts obliterating fat planes of the pelvic region, including hypodense areas suggesting fluid collection in the left periuterine and periadnexal regions, with involved uterus and adnexal regions; said involvement has multifocal contact with the rectosigmoideal region, with slight associated wall thickening; several areas of loops contiguous to pelvic involvement, with potential secondary involvement, with no significant retrograde distension suggesting obstructive repercussion.
Anterior superior extension actinoomicosis the density areas of soft parts towards the anterior abdominal wall, with light thickening and hyper enhancement in the right anterior rectum muscle, suggesting secondary involvement Fig.
Computerised axial tomography upon admission. With the suspected diagnosis based on the computed axial tomography of extensive involvement in the pelvic region of an inflammatory-infectious nature, with probable gynaecological dependence, it is decided to perform an exploratory laparotomy. Prior to intervention, catheterisation of the uterus is performed due to compromised ureter due to the inflammation, more evident in the left side, with acute left obstructive nephropathy.
With no other implants in the rest of the peritoneal cavity. Scarce non-malodorous purulent material is peelvica to microbiology, obtained from the fascia Fig. On the belief that it is a peritoneal carcinomatosis of unknown primary origin, and the great difficulties involved in ressecting the tumour, which zctinomicosis the entire abdominal wall, it is decided to end the intervention with no hysterectomy or adnexectomy, and gather multiple biopsies. The postoperative stage evolves torpidly, with fever spikes and pseudo-obstruction symptoms, which lead to antibiotic intravenous treatment with amoxicillin—clavulanic acid, which lowered the hyperthermia.
Actinomyces in cervical cytology. After a review of the bibliography, several cases similar to ours were found in medical literature, with large pelvic or abdominal wall tumours mimicking malignant processes, which were infections caused by Actinomyces. Vaginal cultures, with endometrial aspiration and peritoneal culture also come back negative, finding only slow and scarce growth of Peptostreptococcus species in peritoneal fluid sensitive to penicillin and amoxicillin. Given the spectacular clinical improvement since the treatment with penicillin began, having ruled out malignant cells in final biopsies and with the only finding of Actinomyces in the cervical—vaginal cytology, the condition is considered a pelvic actinomycosis and it is pwlvica to continue treatment with intravenous penicillin for 1 month, and oral amoxicillin for 6 months.
Actinomicsis patient is discharged from the hospital 1 month after the intervention and continues with controls, with complete disappearance of the radiological lesions 2 months after the intervention. Nine months later, the patient remains asymptomatic, with no ultrasound scan evidence of abdominal tumours and negative cervical cytology for Actinomyces Fig.
Computed axial tomography 2 months after surgery. Actinomycosis is a suppurative granulomatous chronic disease caused by a bacterium called Actinomycesthe most frequent being Actinomyces israeliihabitual commensal of the oropharynges, digestive tract and female genitalia.
Human beings are the only reservoir for Actinomycesthere is no person-to-person transmission, nor animal-to-person transmission of the agent. Traditionally, pelvic actinomycosis was considered as secondary to an intra-abdominal infection, such as appendicitis. An ultrasound scan may be useful in the diagnosis when the infection is acttinomicosis and with pelvic abscesses, but there are many times when images can simulate neoplastic processes.
A computerised axial tomography in this case has more resolution and can confirm the non-malignant nature of the process, avoiding unnecessary surgeries. The Actinomyces culture has several limitations: Given the intense fibrosis and scarce vascularisation of actinomycotic actunomicosis, the infection has to be given a prolonged treatment with antibiotics, 6 which is why most authors recommend 6—12 months.
The need to complete the antibiotic treatment with the surgical drainage of abscesses is controverted. Although there are authors who defend the resection of peelvica the affected tissue, 15 this requires very aggressive and mutilating surgeries in many cases, with a possibility of very serious complications, which may be avoided if the antibiotic treatment is effective, as in our case.
ANALISIS DE LA PRESENCIA DE ACTINOMICOSIS PELVICA EN MUJERES DE UNA COMUNIDAD RURAL EN CHILE
First the possibility of a new intervention for the resection of the abdominal tumour and potential hysterectomy with double adnexectomy was considered, this idea was discarded when full remission of the lesions was proved in imaging tests. In any case, the surgery itself is not curative, which is why the prolonged use of antibiotics is always required. Pelvic and abdominal wall actinomycosis associated to the use of IUD may simulate a neoplastic disease, and it is therefore frequently treated surgically.
However, if there is preoperative suspicion of actinomycosis diagnosis, it may be treated satisfactory only with antibiotics. The authors declare that there are no conflicts of interest. Please cite this article as: Actinomicosis de pared abdominal. Report of a case. Previous article Next aactinomicosis. March – April Pages This item has received. Under a Creative Commons license. Show more Show less.
Background Abdominal wall actinomycosis is a rare disease associated with the use of intrauterine device and as a complication of abdominal surgery. Diagnosis is difficult because it is unusual and behaves like a malignant neoplasm. Aim A case report is presented of a patient who had used an intrauterine device for 4 years and developed a stony tumour in the abdominal wall associated with a set of symptoms that, clinically and radiologically, was simulating a peritoneal carcinomatosis associated with paraneoplastic syndrome, even actinoicosis the course of an exploratory laparotomy.
Clinical case The patient attended our hospital with a 2-month history of abdominal pain and symptoms that mimic a paraneoplastic syndrome. The acrinomicosis of abdominal actinomycosis was suspected by the finding of the microorganism in cervical cytology together with other cultures and Actinomyces negative in pathological studies, confirming the suspicion of a complete cure with empirical treatment with penicillin.
Conclusions Actinomycosis should be considered in patients with pelvic mass or abdominal wall mass that mimics a malignancy. Antibiotic therapy is the first treatment choice and makes a more invasive surgical management unnecessary.
Background Infection by Actinomyces is a slow progression chronic bacterial disease caused by Gram-positive, anaerobic, non-spore-forming germs typically colonising the mouth, colon and pellvica. Clinical case We present the case of a patient, 49 years old, admitted to the emergency department at our hospital who had continuous hypogastric pain for a month associated to 12 kg weight loss, anorexia, nausea and vomiting, with no rhythm alteration or fever.
She mentioned a history of eight voluntary abortions and being a carrier of a copper intrauterine device IUD for 4 years, withdrawn 2 months previously during a gynaecological examination.
Computerised axial tomography upon admission. Actinomyces in cervical cytology. Actinomicoosis axial tomography 2 months after surgery. Harrison’s manual of medicine, McGraw-Hill, pp.
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Rev Esp Patol, 37pp. Radiology,pp. Female pelvic actinomycosis and intrauterine contraceptive devices. Open Access J Contracept, 1pp.
ACTINOMICOSIS by Maria Fernanda Ordóñez Rubiano on Prezi
Bacteriological and clinical aspects of Corynebacterium. Ann Biol Clin, 56pp. Primary actinomycosis of the anterior abdominal wall: J Gastroenterol Hepatol, 20pp.
Br Pelvics J,pp. Cir Esp, 85pp.
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