Recurrent Abdominal Actinomycosis With Multiple Organ Involvement: A Rare Clinical Presentation

  • Vikram Rajput Department of Surgery, MIMSR Medical College, Latur, India.
  • Basavraj Warad Department of Surgery, MIMSR Medical College, Latur, India
  • Vijay Chincholkar Department of Microbiology, Govt. Medical College, Latur, India.
  • Milind Davane Department of Microbiology, MIMSR Medical College, Latur, India.
  • Basavraj Nagoba Mail Department of Microbiology, MIMSR Medical College, Latur, India.
Keywords:
Actinomycosis, Laparotomy, Antibiotic treatment, Abdominal wall, Recurrence

Abstract

Actinomycosis is a chronic granulomatous bacterial disease. It has a tendency to spread contagiously and suppurate forming granulation tissue, and multiple abscesses, which drain through skin forming sinus tracts. Sulphur granules discharging through sinus tracts are the characteristic features. Its varied presentation is always confused with malignancy rather than an infective process. We report an extraordinary case of recurrent abdominal wall actinomycosis spreading to the liver, right kidney, intestine,and pelvic organs because of discontinued treatment with penicillin. We emphasize the importance of long-term antibiotic treatment, which if deferred can lead to recurrence of the disease which could be life threatening at times.

References

Sergent F, Marpeau L, Actinomycose abdominopelvienne: un syndrome tumoral lié à une bacterie. J Chir (Paris). 2004;141:150-6.

Filiporic B, Milinic N, Nikolic G, Ranelovic T, Primary actinomycosis of the anterior abdominal wall: case report and review of the literature. J Gastro Hepatol. 2005;20:517-20.

Bennhoff DF, Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases. Laryngoscope. 1984;94: 1198-217.

Karateke F, Özyazıcı S, Menekşe E, Daş K, Özdoğan M, Unusual presentations of actinomycosis; anterior abdominal wall and appendix: report of three cases. Balkan Med J. 2013; 30: 315-7.

Yi F, Prasad S, Sharkey F, Kahlenberg M, Actinomycotic infection of the abdominal wall mimicking a malignant neoplasm. Surg Infect. 2008;9:85–89.

Kadioglu H, Ersoy YE, Bozkurt S, Memmi N, Cipe G, Gucin Z, Muslumanoglu M, Actinomycotic infection of the abdominal wall mimicking a malignant neoplasm. Surg Infect. 2012;13:413-14.

Weese WC, Smith IM, A study of 57 cases of actinomycosis over a 36-year period. A diagnostic 'failure' with good prognosis after treatment. Arch Intern Med. 1975;135:1562-8.

Perlow JH, WIgton T, Yordan EL, Graham J, Wool N, Wilbanks GD, Disseminated pelvic actinomycosis presenting as metastatic carcinoma: association with the Progestasert intrauterine device. Rev Infect Dis. 1991;13:1115-9.

Hinnie J, Jacques BC, Bell E, Hansell DT, Milroy R, Actinomycosis presenting as carcinoma. Postgrad Med J. 1995;71:749-50.

Lunca S, Bouras G, Romedea NS, Pertea M, Abdominal wall actinomycosis associated with prolonged use of an intrauterine device: a case report and review of literature. Int Surg. 2005;90:236-40.

Yilmaz M, Akbulut S, Samdanci ET, Yilmaz S, Abdominopelvic actinomycosis associated with an intrauterine device and presenting with a rectal mass and hydronephrosis: A troublesome condition for the clinician. Int Surg. 2012;97:254-9.

Carkman S, Ozben V, Durak H, Karabulut K, Ipek T, Isolated abdominal wall actinomycosis associated with an intrauterine contraceptive device: A case report and review of the relevant literature. Case Reports in Med. 2010;2010. pii: 340109. doi: 10.1155/2010/340109. Epub 2010 Aug 12.

Galata CL, Vogelmann R, Gaiser T, Post S, Horisberger K, Abdominopelvic actinomycosis in three different locations with invasion of the abdominal wall and ureteric obstruction: An uncommon presentation. Int J Surg Case Rep. 2015;12:48-51.

Valour F, Senechal A, Dupieux C, Karsenty J, Lustig S, Breton P, Actinomycosis: etiology, clinical features, diagnosis, treatment, and management. Infect Drug Resist. 2014;7:183-97.

Published
2019-01-16
How to Cite
1.
Rajput V, Warad B, Chincholkar V, Davane M, Nagoba B. Recurrent Abdominal Actinomycosis With Multiple Organ Involvement: A Rare Clinical Presentation. Acta Med Iran. 56(11):732-735.
Section
Case Report(s)