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...
Saved in:
Main Authors: | , , , |
---|---|
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 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1832555022259322880 |
---|---|
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. |
format | Article |
id | doaj-art-090db070d9e647609c86488f0e55743f |
institution | Kabale University |
issn | 1712-9532 1918-1493 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | Canadian Journal of Infectious Diseases and Medical Microbiology |
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 |