RESUMEN
OBJECTIVE: This study aims to assess the clinical, radiological, and histological characteristics of Actinomyces infection identified in appendectomy specimens. MATERIAL AND METHODS: Between January 2013 and November 2023, 5834 patients underwent appendectomy in our clinic, and their pathology reports were retrospectively reviewed. RESULTS: Actinomyces appendicites were reported in 14 specimens (0.23%). It was determined that appendectomy was performed in only 10 patients (71.4%), ileocecal resection was performed in two patients (14.2%) and right hemicolectomy in two patients (14.2%). The operations on five patients were performed by laparoscopy, and the operations on the other nine patients were performed by open surgery. Laparoscopy was started in three patients and converted to open surgery due to suspicion of an ileocecal mass and cecal perforation. It was found that the white blood cell count of three patients was within the normal range of reference (8-9.77mg/dL); leukocytosis was detected in other patients (10.2-18.7mg/dL). C-reactive protein was normal in one patient and high in the rest of the patients. While the first-hour erythrocyte sedimentation rate was normal in five patients, it was found to be high in the other patients. Findings on radiological imaging were reported as acute appendicitis, appendicular plastron, and ileocecal mass. As a result of the pathology findings, the patients were given oral penicillin or semi-synthetic penicillin derivatives during one month. CONCLUSION: Ileocecal and appendecular actinomycosis are rare, and preoperative diagnosis is difficult. A definitive diagnosis is usually made after a histopathological examination. After surgery, long-term antimicrobial treatment of the patient is possible with penicillin.
Asunto(s)
Actinomicosis , Apendicectomía , Humanos , Actinomicosis/diagnóstico , Masculino , Femenino , Estudios Retrospectivos , Persona de Mediana Edad , Adulto , Anciano , Apendicitis/diagnóstico , Apendicitis/cirugía , Adulto Joven , Enfermedades del Ciego/diagnóstico , Enfermedades del Ciego/cirugía , Enfermedades del Ciego/microbiología , Laparoscopía , Actinomyces/aislamiento & purificación , AdolescenteRESUMEN
La actinomicosis mamaria es una infección supurativa crónica que se caracteriza por la producción de gránulos de azufre a partir de fístulas externas en la piel de las mamas. Por ser una enfermedad rara en esta localización y al encontrarnos con dos casos similares decidimos realizar este estudio, siendo los aspectos antes mencionados la motivación principal del mismo. Además, pretendemos despertar el interés de los médicos al estudio de tal padecimiento para el diagnóstico y conocimiento del tratamiento el cual debe ser precoz y duradero para su cura. Se hizo énfasis en la importancia del diagnóstico y tratamiento tempranos(AU)
Mammary actinomycosis is a chronic suppurative infection that is characterized by the production of sulfur granules from external fistulas in the skin of the breasts. Due to, it is a rare disease in this location. Two similar cases, are carried out in this study, the mentioned aspects being the main motivation. In addition, we intend to awaken the interest of doctors to the study of such condition for the diagnosis and knowledge of the treatment which must be early and lasting for its cure. The importance in early diagnosis and treatment is emphasized(AU)
Asunto(s)
Humanos , Femenino , Actinomicosis/diagnóstico , Actinomicosis/terapia , Mama , InfeccionesRESUMEN
La actinomicosis mamaria es una infección supurativa crónica que se caracteriza por la producción de "gránulos de azufre" a partir de fístulas externas en la piel de las mamas. Por ser una enfermedad rara en esta localización y al encontrarnos con dos casos similares decidimos realizar este estudio, siendo los aspectos antes mencionados la motivación principal del mismo. Además, pretendemos despertar el interés de los médicos al estudio de tal padecimiento para el diagnóstico y conocimiento del tratamiento el cual debe ser precoz y duradero para su cura. Se hizo énfasis en la importancia del diagnóstico y tratamiento tempranos(AU)
Mammary actinomycosis is a chronic suppurative infection that is characterized by the production of sulfur granules from external fistulas in the skin of the breasts. Due to, it is a rare disease in this location. Two similar cases, are carried out in this study, the mentioned aspects being the main motivation. In addition, we intend to awaken the interest of doctors to the study of such condition for the diagnosis and knowledge of the treatment which must be early and lasting for its cure. The importance in early diagnosis and treatment is emphasized(AU)
Asunto(s)
Humanos , Femenino , Adulto , Mama , Actinomicosis/diagnóstico , Actinomicosis/terapia , InfeccionesRESUMEN
La actinomicosis es una infección supurativa crónica, producida por bacterias Gram-positivas anaeróbicas o especies Actinomyces microaerófilas. Es rara en niños y adolescentes; es más común en inmunodeprimidos. El Mycobacterium tuberculosis colabora en el desarrollo de la enfermedad. La afectación pulmonar aparece como un cuadro de condensación crónica que no mejora con el tratamiento antibiótico convencional. Las complicaciones clásicas de afectación de la pared torácica con fistulización y supuración en «granulo de azufre¼ son descritas con menor frecuencia en la actualidad. El diagnóstico es un verdadero desafío y se establece mediante el aislamiento de las especies de Actinomyces. El tratamiento de elección para todas las formas clínicas de la enfermedad es el uso prolongado de antibióticos. Objetivo. Presentar un caso pediátrico de comorbilidad entre tuberculosis y actinomicosis. Resaltar la importancia de la sospecha diagnóstica de actinomicosis frente a todo proceso supurado crónico.
Actinomycosis is a chronic suppurative infection, produced by anaerobic Gram-positive bacteria or microaerobic Actinomyces species. It is rare in children and adolescents and it is more common in immunocompromised. Mycobacterium tuberculosis collaborates on the development of the disease. Pulmonary involvement appears as a picture of chronic condensation that does not improve with conventional antibiotic treatment. Classic complications affecting the thoracic wall with drainage in «sulfur granule¼ and fistulization are described less frequently nowadays. The diagnosis is a real challenge and it is set by using the isolation of species of Actinomyces. The treatment of choice for all clinical forms of the disease is the prolonged use of antibiotics. Objective: to present a pediatric case of comorbidity between tuberculosis and actinomycosis and to highlight the importance of diagnostic suspicion of actinomycosis in the presence of all chronic suppurative processes.