A case of abdominal actinomycosis simulating Dieulafoy's ulcer.
- Author:
Im Kwan JHU
1
;
Seung Ho YANG
;
Jun Young CHOI
;
Cheol KOO
;
Hwang Yong JI
;
Min Seok CHOI
Author Information
1. Department of Internal Medicine, Yeosu Jeonnam Hospital, Yeosu, Korea. jns9608@naver.com
- Publication Type:Case Report
- Keywords:
Actinomycosis;
Sulfur Granule;
Colonoscopy
- MeSH:
Abscess;
Actinomyces;
Actinomycosis*;
Biopsy;
Colon;
Colonoscopy;
Diagnosis;
Inflammatory Bowel Diseases;
Penicillins;
Sulfur;
Suppuration;
Ulcer*
- From:Korean Journal of Medicine
2003;65(Suppl 3):S907-S911
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Actinomycosis is a chronic suppurative and granulomatous disease caused by Actinomyces species and characterized by sulfur granule formation. Depending on the site of primary infection, it is generally classified as cervicofacial, thoracic and abdominal type. Abdominal actinomycosis is often difficult to diagnose before operation because of low frequency and no characteristic clinical features of the disease. As it progresses chronically, it can be misdiagnosed such as cancer, inflammatory bowel disease or other abscess. The diagnosis is usually based on histologic demonstration of sulfur granules in pus or surgically resected specimen. In vast majority of cases, treatment has consisted of long-term antibiotic therapy coupled with surgical resection. We experienced a case of colonic actinomycosis initially diagnosed as Dieulafoy's ulcer and confirmed by colonoscopic biopsy. Treatment with intravenous penicillin for 4 weeks was successful independently, and we report this case with a brief review of literatures.
