Clinical Features of Abdominal Actinomycosis: A 15-year Experience of A Single Institute.
10.3346/jkms.2011.26.7.932
- Author:
Hye Young SUNG
1
;
In Seok LEE
;
Sang Il KIM
;
Seung Eun JUNG
;
Sang Woo KIM
;
Su Young KIM
;
Mun Kyung CHUNG
;
Won Chul KIM
;
Seong Tack OH
;
Won Kyung KANG
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Seoul St. Mary Hospital, the Catholic University of Korea College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Abdominal Actinomycosis;
Unusual Abdominal Mass
- MeSH:
*Abdomen;
Actinomycosis/*diagnosis/drug therapy/surgery;
Adult;
Aged;
Anti-Bacterial Agents/therapeutic use;
Child;
Diagnosis, Differential;
Female;
Humans;
Male;
Middle Aged;
Peritonitis/diagnosis/pathology/surgery;
Retrospective Studies;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2011;26(7):932-937
- CountryRepublic of Korea
- Language:English
-
Abstract:
This study was designed to evaluate the clinical features of abdominal actinomycosis and to assess its therapeutic outcome. We reviewed patients with abdominal actinomycosis in Seoul St. Mary hospital, between January 1994 and January 2010. Twenty-three patients (5 male and 18 female, mean age, 47.8 yr; range, 6-75 yr), with abdominal actinomycosis were included. Emergency surgery was performed in 50% due to symptoms of peritonitis. The common presentation on preoperative computerized tomography was a mass with abscess, mimicking malignancy. The mean tumor size was 7.0 cm (range, 2.5-10.5). In all patients, actinomycotic masses were surgically removed. Mean duration of hospital stay was 17.8 days (range, 5-49). Long term oral antibiotic treatment (mean 4.2 months; range, 0.5-7.0 months) were administered to all patients. All patients were free of recurrence after a median follow up of 30.0 months (mean 35.5 +/- 14.8 months, range, 10.0-70.0 months); recurrence was not seen in any patient. In conclusion, abdominal actinomycosis should be included as a differential diagnosis when an unusual abdominal mass or abscess presents on abdominal CT. Assertive removal of necrotic tissue with surgical drainage and long term antibiotic treatment provide a good prognosis in patients with actinomycosis.
