Disseminated Pelvic Actinomycosis Caused by Actinomyces Naeslundii

Actinomycosis is a chronic bacterial infection characterized by continuous local spread, irrespective of anatomical barriers, and granulomatous suppurative inflammation. Due to its expansive local growth, it can simulate a malignant tumour. Subsequent hematogenous dissemination to distant organs can...

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Bibliographic Details
Published in:Antibiotics (Basel) 2020-11, Vol.9 (11), p.748
Main Authors: Dzupova, Olga, Kulichova, Jana, Benes, Jiri
Format: Article
Language:English
Subjects:
Actinomyces
Actinomycetes
Actinomycosis
Antibiotics
Ascites
Bacterial diseases
Biopsy
Blood clots
Brief Report
Cachexia
Causes of
Chronic infection
Complications
Contraceptives
Health aspects
Histology
HIV
Human immunodeficiency virus
Hydronephrosis
Infections
Intrauterine devices
IUD
Laboratories
Liver
Malignancy
Metastases
Metastasis
Mimicry
Nutritional status
Organs
Ovaries
Penicillin
Physiological aspects
Spleen
Surgery
Thromboembolism
Thrombosis
Tuberculosis
Tumors
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Summary:Actinomycosis is a chronic bacterial infection characterized by continuous local spread, irrespective of anatomical barriers, and granulomatous suppurative inflammation. Due to its expansive local growth, it can simulate a malignant tumour. Subsequent hematogenous dissemination to distant organs can mimic metastases and further increase suspicion for malignancy. A case of severe disseminated pelvic actinomycosis associated with intrauterine device is described here. The patient presented with a pelvic mass mimicking a tumour, bilateral ureteral obstruction, ascites, multinodular involvement of the liver, lungs and spleen, inferior vena cava thrombosis and extreme cachexia. Actinomycosis was diagnosed by liver biopsy and confirmed by culture of Actinomyces naeslundii from extracted intrauterine contraceptive device (IUD). Prolonged treatment with aminopenicillin and surgery resulted in recovery with moderate sequelae.
ISSN:2079-6382
2079-6382
DOI:10.3390/antibiotics9110748