Ileal actinomycosis in a patient with AIDS.

Litt, Harold; Levine, M S; Maki, Daniel D.; Sachdeva, Rajesh; Einhorn, Eugene

doi:10.2214/ajr.172.5.10227506

Cited by 7 publications

(2 citation statements)

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“…Radiologic findings have been reported to suggest the diagnosis, like large solid infiltrative masses with focal areas of attenuation invading the adjacent tissues revealed by CT scan with contrast enhancement. Particularly for appendiceal actinomycosis, wall thickening and periappendiceal inflammation has been described, and, although it can reveal acute appendicitis, actinomycosis should be included in the differential diagnosis (17,18). Therefore, CT must be considered an important diagnostic tool as far anatomical location, extent of the disease, and effectiveness of treatment is concerned.…”

Section: Discussionmentioning

confidence: 99%

Abdominal actinomycosis in the last 10 years and risk factors for appendiceal actinomycosis: review of the literature

Lisa-Gracia¹,

Martín-Rivas²,

Pajaron-Guerrero³

et al. 2017

Turk J Med Sci

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Background/aim: Actinomycosis is a granulomatous disease caused by filamentous, gram-positive, anaerobic bacteria. Actinomycetes are commensal inhabitants of the oral cavity and intestinal tract but acquire pathogenicity through invasion of breached or necrotic tissue. In abdominal actinomycosis (AA), the appendix and ileocecal region are usually involved. The aim of this study was to characterize patients diagnosed with AA and to establish the risk factors for appendiceal actinomycosis, including a short review of the literature. Materials and methods:We conducted a prospective cohort study of all patients diagnosed with AA in the University Hospital Marques de Valdecilla (Santander-Cantabria) from January 2003 to October 2013. We also conducted a short review of the literature. Results:We characterized the epidemiological features of patients diagnosed with AA and risk factors for the involvement of the appendix, as most of the cases were misdiagnosed as appendicitis. Risk factors for appendiceal actinomycosis are no antecedents of carcinoma (P = 0.034) and previous incorrect diagnosis (P = 0.006). Conclusion:AA is a rare and chronic infection. It is only reported in case reports in the literature. We present the largest series of patients diagnosed with AA. Half of the patients had morbidities, mostly carcinoma, and penicillin was the preferred treatment. More studies are needed to characterize patients affected with AA and to establish the correct treatment.

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Section: Discussionmentioning

confidence: 99%

Abdominal actinomycosis in the last 10 years and risk factors for appendiceal actinomycosis: review of the literature

Lisa-Gracia¹,

Martín-Rivas²,

Pajaron-Guerrero³

et al. 2017

Turk J Med Sci

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“…Each sulphur granule consists of branching bacterial ® laments of Actinomyces which can be visualized on microscopic 350 International Journal of STD & AIDS Volume 11 June 2000 17 Vazquez et al 13 Manfredi et al 18 Kingdom and Tami 9 Manfredi et al 19 Watkins et al 14 20 Cendan et al 7 Klapholz et al Nair and Pitchumoni 22 Litt et al 23 Poles et al 24 Spencer et al 25 examination of a Gram-stained smear. Special histological stains such as Grocott± Gomori methenamine± silver nitrate and p-aminosalicylic acid may also be used.…”

Section: Diagnosismentioning

confidence: 99%

Actinomycosis in HIV infection: a review of a rare complication

Chaudhry

Greenspan

2000

Int J STD AIDS

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The emergence of the human immunodeficiency virus (HIV) and the onset of the AIDS epidemic has been associated with the frequent presentation of otherwise rare opportunistic infections and neoplasms. Despite the impairments of cellular and humoral immunity that accompany HIV infection, the prevalence of actinomycosis in the HIV-infected population has remained low. This article reviews previously reported cases of actinomycosis in HIV-positive and AIDS patients. Microbiological, pathological, diagnostic, clinical and therapeutic aspects of actinomycosis in this population are discussed. Clinicians should be aware of the possibility of actinomycosis as the cause of a persistent inflammatory lesion in these patients and know the correct techniques for collecting and submitting tissue specimens for anaerobic culture.

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Jejunum and Ileum

Advanced Imaging of the Abdomen

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Ileal actinomycosis in a patient with AIDS.

Cited by 7 publications

References 0 publications

Abdominal actinomycosis in the last 10 years and risk factors for appendiceal actinomycosis: review of the literature

Abdominal actinomycosis in the last 10 years and risk factors for appendiceal actinomycosis: review of the literature

Actinomycosis in HIV infection: a review of a rare complication

Jejunum and Ileum

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