La actinomicosis es una infección poco común causada por bacterias del género . Schalper K, Piérart C. Análisis de la presencia de actinomicosis pélvica en. Download Citation on ResearchGate | ACTINOMICOSIS GINECOLOGICA | Actinomycosis is an infectious disease. It may lead to sequels and may cause death. Antecedentes: La actinomicosis de pared abdominal es un cuadro clínico poco frecuente, aso .. Jabib A, Ferreiro J, Chappe M, Albini M. Actinomicosis pélvica.
|Published (Last):||6 June 2008|
|PDF File Size:||10.76 Mb|
|ePub File Size:||19.55 Mb|
|Price:||Free* [*Free Regsitration Required]|
Only 3 articles reported actinomycosis as such, and only one report completely identified the causal agent through culture and biochemical assays Table 6.
Turkey [ 35 ]. Nine months pelica, the patient remains asymptomatic, with no ultrasound actinomiclsis evidence of abdominal tumours and negative cervical cytology for Actinomyces Fig. Case Reports in Obstetrics and Gynecology. Total abdominal hysterectomy and bilateral salpingo-oophorectomy, and penicillin No date of resolution. Oophorectomy, prolonged antibiotic therapy No date of resolution. It is commonly diagnosed through a histological report, obtained after a surgery subsequent to an erroneous initial diagnosis.
Table 6 Publications of cross-sectional studies of pelvic actinomycosis. Actinomycosis in 13 patients with IUDs and in 2 without contraceptive methods. Actinomycosis is an infrequent infection caused by bacteria from Actinomyces genus that manifests as a chronic, suppurative and progressive disease. India [ 24 ] Ovarian actinomycosis Ovarian cancer Histopathological report No Laparoscopy, hysterectomy with salpingo-oophorectomy, and penicillin Total recovery 1 39Vijaya et al.
Cases of Pelvic Actinomycosis Actinomicksis in Africa From the African continent, 3 articles of clinical cases were found, totalling 8 clinical cases. Bilateral ovarian actinomycosis masquerading as ovarian malignancy; without any history of intra-uterine actinomicoiss device. Clin Infect Dis ; Mexico [ 58 ]. Cystoscopy, penicillin, and Duomox No date of resolution.
United States [ 50 ]. We present the case of a patient, 49 years old, admitted to the emergency department at our hospital who had continuous hypogastric pain for pelvicaa month associated to 12 kg weight loss, anorexia, nausea and vomiting, with no rhythm alteration or fever.
Thoracic actinomycosis – a case report. Clindamycin, tetracycline, and erythromycin are actinomifosis alternative in cases of allergy to penicillin [ 45 ]. Actinomycoses are opportunistic infections and require normal mucous barriers to be altered. A case of pelvic actinomycosis unrelated to an intrauterine device. Conclusions Actinomycosis should be considered in patients with pelvic mass or abdominal wall mass that mimics a malignancy.
Discussion According to the analysis of the articles presented, Europe was the continent on which the greatest number of cases of pelvic pelvvica was reported, followed by Asia and America.
However, as pelvic actinomycosis is an uncommon infection, no epidemiological studies have been conducted to determine its prevalence or incidence. Primary actinomycosis of the anterior abdominal wall: However, if there is preoperative suspicion of actinomycosis diagnosis, it may be treated satisfactory only with antibiotics. One possible route of dissemination is through IUDs, which fosters the growth of microorganisms through wires that are left in the exocervix.
Laparotomy, penicillin, and amoxicillin Complete recovery. Given the spectacular clinical improvement since the treatment with penicillin began, having ruled out malignant cells in final biopsies and with the only finding of Actinomyces in the cervical—vaginal actinomicpsis, the condition is considered a pelvic actinomycosis and it is decided to continue treatment with intravenous penicillin for 1 month, and oral amoxicillin for 6 months.
Cir Esp, pepvicapp. Table 1 Publications of cases of pelvic actinomycosis in Africa. Computed axial tomography 2 months after surgery. Hysterectomy with bilateral salpingo-oophorectomy No date of resolution. Actinomycosis of the caecum simulating carcinoma in a patient with a long-term intrauterine device. Two methods exist for completely identifying the causal agent: Previous article Next article.
Total hysterectomy with bilateral salpingo-oophorectomy No date of resolution. Laparotomy and hysterectomy, ampicillin No date of resolution. However, because of the nature of the pathology, there is no early diagnosis, because, as has already been mentioned, the presence of symptoms occurs in advanced stages of the disease.
The symptoms of pelvic actinomycosis associated with the use of an IUD can imitate symptoms of gynaecological malignant tumours, uterine myoma, or adenomyosis when presenting as a genital mass without fever [ 3 ].