alexa Abdominal Actinomycosis Mimicking Chronic Appendicitis
ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Abdominal Actinomycosis Mimicking Chronic Appendicitis

Maya Paritsky1* and Leonid Cherepnin2
1Gastrointestinal Unit, Baruch Padeh medical center, Poria, Tiberias, Israel
2Central Laboratories, Maccabi Medical Services, Israel
Corresponding Author : Maya Paritsky
Gastrointestinal Unit, Baruch Padeh Medical Center
Poria, Lower Gallile, 15208, Israel
Fax: 972-4-665-2441
Tel: 972-4-665-2442
E-mail: [email protected]
Received September 11, 2012; Accepted September 26, 2012; Published September 28, 2012
Citation: Paritsky M, Cherepnin L (2012) Abdominal Actinomycosis Mimicking Chronic Appendicitis. J Clin Case Rep 2:208. doi:10.4172/2165-7920.1000208
Copyright: © 2012 Paritsky M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Background: Abdominal actinomycosis is a rare chronic infectious disease. There are only a few reports of the disease of chronic appendicitis pattern. We present a case of abdominal actinomycosis mimicking chronic appendicitis. Case: A 29-year old male was admitted with symptoms of right low quadrant pain for a few weeks. An abdominal computed tomography scan revealed a solid mass without a clear border, near the cecum. On colonoscopy, normal colon and terminal ileum were seen, except for mild edema and a few tiny erosions around the appendiceal orifice. The patient received an antibiotic treatment. Three month later, abdominal ultrasound was performed and revealed the appendix enlarged to 9 mm, with thickened and hyperemic wall. Appendectomy was performed. On microscopic examination chronic active appendicitis containing Actinomycotic sulfur granules within inflammatory infiltrate was described. Treatment by Amoxicilline was recommended for 6 months.

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