Pelvic Actinomycosis

Introduction. Actinomycosis is a chronic bacterial infection caused by Actinomyces, Gram-positive anaerobic bacteria. Its symptomatology imitates some malignant pelvic tumours, tuberculosis, or nocardiosis, causing abscesses and fistulas. Actinomycoses are opportunistic infections and require normal...

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Main Authors: Alejandra García-García, Ninfa Ramírez-Durán, Horacio Sandoval-Trujillo, María del Socorro Romero-Figueroa
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2017/9428650
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author Alejandra García-García
Ninfa Ramírez-Durán
Horacio Sandoval-Trujillo
María del Socorro Romero-Figueroa
author_facet Alejandra García-García
Ninfa Ramírez-Durán
Horacio Sandoval-Trujillo
María del Socorro Romero-Figueroa
author_sort Alejandra García-García
collection DOAJ
description Introduction. Actinomycosis is a chronic bacterial infection caused by Actinomyces, Gram-positive anaerobic bacteria. Its symptomatology imitates some malignant pelvic tumours, tuberculosis, or nocardiosis, causing abscesses and fistulas. Actinomycoses are opportunistic infections and require normal mucous barriers to be altered. No epidemiological studies have been conducted to determine prevalence or incidence of such infections. Objective. To analyse the clinical cases of pelvic actinomycosis reported worldwide, to update the information about the disease. Methods. A systematic review of worldwide pelvic actinomycosis cases between 1980 and 2014 was performed, utilising the PubMed, Scopus, and Google Scholar databases. The following information was analysed: year, country, type of study, number of cases, use of intrauterine device (IUD), final and initial diagnosis, and method of diagnosis. Results. 63 articles met the search criteria, of which 55 reported clinical cases and 8 reported cross-sectional studies. Conclusions. Pelvic actinomycosis is confusing to diagnose and should be considered in the differential diagnosis of pelvic chronic inflammatory lesions. It is commonly diagnosed through a histological report, obtained after a surgery subsequent to an erroneous initial diagnosis. A bacterial culture in anaerobic medium could be useful for the diagnosis but requires a controlled technique and should be performed using specialised equipment.
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spelling doaj-art-090db070d9e647609c86488f0e55743f2025-02-03T05:49:46ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95321918-14932017-01-01201710.1155/2017/94286509428650Pelvic ActinomycosisAlejandra García-García0Ninfa Ramírez-Durán1Horacio Sandoval-Trujillo2María del Socorro Romero-Figueroa3Laboratory of Medical and Environmental Microbiology, Department of Medicine, Autonomous University of the State of Mexico, 50180 Toluca, MEX, MexicoLaboratory of Medical and Environmental Microbiology, Department of Medicine, Autonomous University of the State of Mexico, 50180 Toluca, MEX, MexicoDepartment of Biological Systems, Autonomous Metropolitan University, Xochimilco, 04960 Mexico City, MexicoCoordinación Delegacional de Investigación en Salud, México Poniente, Instituto Mexicano del Seguro Social, Toluca, MEX, MexicoIntroduction. Actinomycosis is a chronic bacterial infection caused by Actinomyces, Gram-positive anaerobic bacteria. Its symptomatology imitates some malignant pelvic tumours, tuberculosis, or nocardiosis, causing abscesses and fistulas. Actinomycoses are opportunistic infections and require normal mucous barriers to be altered. No epidemiological studies have been conducted to determine prevalence or incidence of such infections. Objective. To analyse the clinical cases of pelvic actinomycosis reported worldwide, to update the information about the disease. Methods. A systematic review of worldwide pelvic actinomycosis cases between 1980 and 2014 was performed, utilising the PubMed, Scopus, and Google Scholar databases. The following information was analysed: year, country, type of study, number of cases, use of intrauterine device (IUD), final and initial diagnosis, and method of diagnosis. Results. 63 articles met the search criteria, of which 55 reported clinical cases and 8 reported cross-sectional studies. Conclusions. Pelvic actinomycosis is confusing to diagnose and should be considered in the differential diagnosis of pelvic chronic inflammatory lesions. It is commonly diagnosed through a histological report, obtained after a surgery subsequent to an erroneous initial diagnosis. A bacterial culture in anaerobic medium could be useful for the diagnosis but requires a controlled technique and should be performed using specialised equipment.http://dx.doi.org/10.1155/2017/9428650
spellingShingle Alejandra García-García
Ninfa Ramírez-Durán
Horacio Sandoval-Trujillo
María del Socorro Romero-Figueroa
Pelvic Actinomycosis
Canadian Journal of Infectious Diseases and Medical Microbiology
title Pelvic Actinomycosis
title_full Pelvic Actinomycosis
title_fullStr Pelvic Actinomycosis
title_full_unstemmed Pelvic Actinomycosis
title_short Pelvic Actinomycosis
title_sort pelvic actinomycosis
url http://dx.doi.org/10.1155/2017/9428650
work_keys_str_mv AT alejandragarciagarcia pelvicactinomycosis
AT ninfaramirezduran pelvicactinomycosis
AT horaciosandovaltrujillo pelvicactinomycosis
AT mariadelsocorroromerofigueroa pelvicactinomycosis