Primary Syphilis of the Anorectal Region

Samenius, B

doi:10.1007/978-3-642-87959-3_42

Cited by 8 publications

(12 citation statements)

References 8 publications

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“…[23][24][25] Primary anorectal and perianal actinomycosis are very rare. [14][15][16][17][18][19][20][21][22][26][27][28][29] According to Cope, 26 infection with Actinomyces species occurs so seldom in the colon and the anorectum that no surgeon, even a proctologist, is likely to see more than a few cases in a lifetime.…”

Section: Discussionmentioning

confidence: 99%

“…[14][15][16][17][18][19][20][21][22][26][27][28][29] The typical clinical presentation of perianal actinomycosis is that of a mass, not infrequently fistulizing with discharge of seropurulent fluid. There is no fever and the majority of cases is characterized by recurrent perianal abscesses and/or fistulas.…”

Section: Discussionmentioning

confidence: 99%

“…Ampicillin and other aminopenicillins are alternatives for these combinations. 29 Amoxicillin/clavulanic acid, cotrimoxazole, lincomycin, and cefotaxime also may be used. For penicillin-allergic patients tetracycline, erythromycin, clindamycin, and cephalosporins are suitable alternatives.…”

Section: Discussionmentioning

confidence: 99%

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Actinomycosis, A Rare and Unsuspected Cause of Anal Fistulous Abscess: Report of Three Cases and Review of the Literature

Coremans¹,

Margaritis²,

Poppel³

et al. 2005

Diseases of the Colon &Amp; Rectum

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Primary perianal actinomycosis is rare. Sporadic cases, with lesions varying in extent have been reported. The infection is caused by the bacterium Actinomyces, which often is a saprophyte. Male gender and diabetes are risk factors, but the exact pathogenic mechanism remains speculative. The diagnosis is a challenge and often delayed, with a protracted history of masses and sinuses extending into the gluteal and genital region. The treatment, a combination of surgery and antibiotics, is poorly standardized. We report three cases and compare their characteristics to those of published cases, found by a computerized literature search (1968-2002). The lesions, a simple fistula-in-ano or a mass, were diagnosed in an early stage in all three patients. The infection always spread into the scrotum. There were no risk factors other than gender, except in one patient. The diagnosis was suspected by the observation of draining sulfur granules and promptly confirmed by histology in the three cases. All patients healed with antibiotics in addition to simple surgical procedures. Treatment consisted of amoxicillin for two weeks in two cases and more extended antimicrobial treatment in the third. These findings are contrasting with the classic picture of perianal actinomycosis. It is concluded that perianal actinomycosis can occur in the absence of risk factors and that early diagnosis requires a high degree of suspicion. An infection with Actinomyces should be suspected in the presence of lesions containing watery purulent material with sulfur granules. The indication for extended antibiotherapy combined with sphincter damaging surgery may need to be revised in the presence of early detection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Actinomycosis, A Rare and Unsuspected Cause of Anal Fistulous Abscess: Report of Three Cases and Review of the Literature

Coremans¹,

Margaritis²,

Poppel³

et al. 2005

Diseases of the Colon &Amp; Rectum

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“…There is only one reported case of an anal abscess caused by this species [8]. Primary anorectal actinomycosis and perianal actinomycosis are very rare [1,[4][5][6]. Most cases of anal abscess are caused by cryptitis and invasion of the surrounding tissues by a mixed colonic flora [1].…”

Section: Introductionmentioning

confidence: 99%

“…Two different types of anorectal actinomycosis have been reported: primary rectal actinomycosis and perianal actinomycosis [1,[4][5][6]. The typical clinical presentation of perianal actinomycosis is that of a mass.…”

Section: Introductionmentioning

confidence: 99%

Perianal abscess caused by Actinomyces: report of a case

et al. 2008

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Most anal abscesses are caused by anal fistula and invasion of the surrounding tissues by a mixed colonic flora. The treatment comprises excision of the abscess and. if appropriate, fistulectomy. Primary anorectal actinomycosis and perianal actinomycosis are very rare and are caused by Actinomyces, which is a ubiquitous microaerophilic bacterium. Here we report a case of perianal actinomycosis. The patient had a short history of painless perineal induration without fever or leucocytosis with normal routine blood tests. After excision sulphur granules drained from the cavity and the pathological investigations were indicative of perianal actinomycosis. Appropriate surgery and antibiotic treatment healed the perianal infection. After elimination of other diagnoses, e.g. Crohn's disease, tuberculosis and malignant growths, this rare case of perianal actinomycosis should be kept in mind in the differential diagnosis of a painless perianal mass.

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Syphilitic Proctitis Presenting as a Rectal Mass: a Case Report and Review of the Literature

Costales-Cantrell

Dong

et al. 2021

J GEN INTERN MED

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Primary Syphilis of the Anorectal Region

Cited by 8 publications

References 8 publications

Actinomycosis, A Rare and Unsuspected Cause of Anal Fistulous Abscess: Report of Three Cases and Review of the Literature

Actinomycosis, A Rare and Unsuspected Cause of Anal Fistulous Abscess: Report of Three Cases and Review of the Literature

Perianal abscess caused by Actinomyces: report of a case

Syphilitic Proctitis Presenting as a Rectal Mass: a Case Report and Review of the Literature

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