Korean J Gastroenterol.
1998 Apr;31(4):558-561.
A Case of Abdominal Actinomycosis
Abstract
- Abdominal actinomycosis is often difficult to diagnose before operation because of no reliable clinical features and relative infrequency of the disease. The diagnosis is usually made during exploratory laparotomy by staining and culture of Actinomyces israelii or histologic demonstration of sulfur granules in pus from fistulae or surgically resected specimen. Treatment consists of surgical resection of infected lesion and long-term antibiotic therapy. We report a case of abdominal actinornycosis suggesting periappendiceal abscess, mesenteric tuberculosis or retroperitoneal tumor preoperatively.
