Case report, case study
https://doi.org/10.21857/moxpjhz56m
Actinomycosis infection causing an acute appendicitis - case report
Lucija Brkić
; University Hospital Centre Zagreb, Department of Surgery, Zagreb, Croatia
*
Branko Bogdanić
; University Hospital Centre Zagreb, Department of Surgery, Zagreb, Croatia
Zlatko Marušić
; University Hospital Centre Zagreb, Department of Pathology and Cytology, Zagreb, Croatia
Lea Korša
; University Hospital Centre Zagreb, Department of Pathology and Cytology, Zagreb, Croatia
Anja Mandarić
; University Hospital Centre Zagreb, Department of Anesthesiology, ICU and Pain
Zrinka Orešković
; University Hospital Centre Zagreb, Department of Anesthesiology, ICU and Pain
Sandra Morović
; Arsano Medical Group
* Corresponding author.
Abstract
Actinomyces species is a commensal organism in humans. If mucosal damage occurs, it becomes a pathogen. Most cases are limited to the face and neck. Abdominal actinomycosis (AA) is rarely encountered in clinical practice. Presentation is highly variable, ranging from an acute abdomen to an abdominal mass suspicious of malignancy. This case report describes a young, previously healthy female admitted for acute abdomen. Gangrenous appendicitis with perforation and diffuse peritonitis were found during the operative procedure. A laparoscopic appendectomy was performed. The pathology report described positive aggregates of filamentous organisms, consistent with Actinomyces spp. After the introduction of the empirical antibiotic treatment, the patient recovered completely. No intraabdominal relapse occurred in the 4-year follow-up.
Keywords
Actinomycosis; Appendectomy; Abdomen acute
Hrčak ID:
326030
URI
Publication date:
20.12.2024.
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