Pelvic actinomycosis: two cases

Actinomycosis is a chronic suppurative granulomatous disease caused by different Actinomyces species, mostly bacillus: the Actinomyces israeli. The pelvis location of this infection is rare. We report two cases of actinomycosis that were diagnosed after the surgical treatment of a suspected ovarian...

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Bibliographic Details
Published in:La revue de medecine interne 2006-12, Vol.27 (12), p.946-949
Main Authors: Mnif, H, Krichen Makni, S, Khabir, A, Samet Fakhfakh, I, Trabelsi, K, Charfi, S, Ellouze, S, Sellami Boudawara, T
Format: Article
Language:fre
Subjects:
Actinomycosis - complications
Actinomycosis - diagnosis
Actinomycosis - etiology
Actinomycosis - therapy
Adult
Anti-Bacterial Agents - therapeutic use
Female
Humans
Intrauterine Devices - adverse effects
Ovarian Neoplasms - surgery
Ovariectomy
Pelvic Inflammatory Disease - diagnosis
Pelvic Inflammatory Disease - microbiology
Pelvic Inflammatory Disease - therapy
Retroperitoneal Space
Treatment Outcome
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Summary:Actinomycosis is a chronic suppurative granulomatous disease caused by different Actinomyces species, mostly bacillus: the Actinomyces israeli. The pelvis location of this infection is rare. We report two cases of actinomycosis that were diagnosed after the surgical treatment of a suspected ovarian tumor and a suspected acute peritonitis. Diagnosis in both cases was based on the histopathologic findings. The incidence of pelvic actinomycosis is increasing since 1960 related to the frequent use of intra uterine device. The clinical symptomatology is not specific, simulating a neoplastic or an inflammatory process. The treatment combines operative and antibiotic therapy.
ISSN:0248-8663