Abdominal Actinomycosis Mimicking Malignancy: A Case Report
Actinomycosis is an uncommon chronic granulomatous disease caused by filamentous, gram-positive anaerobic bacteria. Actinomyces Israeli is the major human pathogen. They are commensal inhabitants of the oral cavity and intestinal tract but acquire invasion of breached or necrotic tissue. We report a...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Amrita Journal of Medicine |
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| Online Access: | https://doi.org/10.4103/AMJM.AMJM_51_24 |
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| author | Rajani Gubbala Ponnuswamy Arumugam Suseela Kodandapani Thammineedi Subramanyeshwar Rao |
| author_facet | Rajani Gubbala Ponnuswamy Arumugam Suseela Kodandapani Thammineedi Subramanyeshwar Rao |
| author_sort | Rajani Gubbala |
| collection | DOAJ |
| description | Actinomycosis is an uncommon chronic granulomatous disease caused by filamentous, gram-positive anaerobic bacteria. Actinomyces Israeli is the major human pathogen. They are commensal inhabitants of the oral cavity and intestinal tract but acquire invasion of breached or necrotic tissue. We report a 34-year-old female with intra-abdominal actinomycosis with extensive involvement of abdomen mimicking malignancy. She presented with abdominal pain and mass post laparoscopic cholecystectomy and underwent multiple biopsies which were inconclusive and was treated with antimicrobials with no relief. She was referred to our center suspecting malignancy. Biopsy was repeated and histopathology with special stains revealed actinomycosis. She was treated with intravenous crystalline penicillin of 6 million units thrice daily as an inpatient for a week. She was discharged on oral amoxicillin 1 g twice daily. The total antibiotic duration was 12 months since she had extensive disease. She was on regular follow-up and her lesions gradually regressed. |
| format | Article |
| id | doaj-art-9fa1d81f4e254bdfa1eaef58d58d8363 |
| institution | DOAJ |
| issn | 0975-9662 2772-2805 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Amrita Journal of Medicine |
| spelling | doaj-art-9fa1d81f4e254bdfa1eaef58d58d83632025-08-20T03:01:54ZengWolters Kluwer Medknow PublicationsAmrita Journal of Medicine0975-96622772-28052025-01-01211262810.4103/AMJM.AMJM_51_24Abdominal Actinomycosis Mimicking Malignancy: A Case ReportRajani GubbalaPonnuswamy ArumugamSuseela KodandapaniThammineedi Subramanyeshwar RaoActinomycosis is an uncommon chronic granulomatous disease caused by filamentous, gram-positive anaerobic bacteria. Actinomyces Israeli is the major human pathogen. They are commensal inhabitants of the oral cavity and intestinal tract but acquire invasion of breached or necrotic tissue. We report a 34-year-old female with intra-abdominal actinomycosis with extensive involvement of abdomen mimicking malignancy. She presented with abdominal pain and mass post laparoscopic cholecystectomy and underwent multiple biopsies which were inconclusive and was treated with antimicrobials with no relief. She was referred to our center suspecting malignancy. Biopsy was repeated and histopathology with special stains revealed actinomycosis. She was treated with intravenous crystalline penicillin of 6 million units thrice daily as an inpatient for a week. She was discharged on oral amoxicillin 1 g twice daily. The total antibiotic duration was 12 months since she had extensive disease. She was on regular follow-up and her lesions gradually regressed.https://doi.org/10.4103/AMJM.AMJM_51_24abdominal painactinomycosisantibiotic durationintra-abdominal massmalignancy |
| spellingShingle | Rajani Gubbala Ponnuswamy Arumugam Suseela Kodandapani Thammineedi Subramanyeshwar Rao Abdominal Actinomycosis Mimicking Malignancy: A Case Report Amrita Journal of Medicine abdominal pain actinomycosis antibiotic duration intra-abdominal mass malignancy |
| title | Abdominal Actinomycosis Mimicking Malignancy: A Case Report |
| title_full | Abdominal Actinomycosis Mimicking Malignancy: A Case Report |
| title_fullStr | Abdominal Actinomycosis Mimicking Malignancy: A Case Report |
| title_full_unstemmed | Abdominal Actinomycosis Mimicking Malignancy: A Case Report |
| title_short | Abdominal Actinomycosis Mimicking Malignancy: A Case Report |
| title_sort | abdominal actinomycosis mimicking malignancy a case report |
| topic | abdominal pain actinomycosis antibiotic duration intra-abdominal mass malignancy |
| url | https://doi.org/10.4103/AMJM.AMJM_51_24 |
| work_keys_str_mv | AT rajanigubbala abdominalactinomycosismimickingmalignancyacasereport AT ponnuswamyarumugam abdominalactinomycosismimickingmalignancyacasereport AT suseelakodandapani abdominalactinomycosismimickingmalignancyacasereport AT thammineedisubramanyeshwarrao abdominalactinomycosismimickingmalignancyacasereport |