A case of primary gastric actinomycosis.
- Author:
Dal Sic LEE
1
;
Ji Young KANG
;
Hyun KIM
;
Kyu Ho LEE
;
Guan Young CHOI
;
Won Joong JEON
;
Sei Jin YOUN
Author Information
1. Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. wjjeon@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Actinomycosis;
Gastric ulcer;
Hepatocellular carcinoma
- MeSH:
Abdomen;
Actinomyces;
Actinomycosis;
Animals;
Appendectomy;
Carcinoma, Hepatocellular;
Diverticulum, Colon;
Gastrectomy;
Gastrointestinal Tract;
Humans;
Intrauterine Devices;
Korea;
Middle Aged;
Mouth;
Pelvis;
Penicillins;
Rare Diseases;
Stomach Neoplasms;
Stomach Ulcer;
Sulfur;
Thorax
- From:Korean Journal of Medicine
2009;77(Suppl 1):S27-S30
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Actinomycosis is a chronic suppurative and granulomatous disease caused by a Gram-negative anaerobic bacterium, Actinomyces israelii, which is among the normal flora of the oral cavity and gastrointestinal tract of humans and animals. It is characterized by sulfur granule formation and can involve the cervicofacial area, chest, abdomen, and pelvis. The most common predisposing factors are the presence of an intrauterine contraceptive device, previous trauma, appendectomy, colon diverticulum, and gastrointestinal perforation. Primary gastric actinomycosis is an extremely rare disease. Three cases of gastric actinomycosis have been reported in people who had a subtotal gastrectomy for stomach cancer in Korea. We report a case of primary gastric actinomycosis in a 59-year-old man with untreatable hepatocelluar carcinoma. His actinomycosis was cured with penicillin therapy.
