Open AccessPseudotumoral Actinomycosis Mimicking Malignant Colic Disease: A Case Report and Literature Review
Author(s) -
Rachid Jabi,
Hanae Ramdani,
Siham Elmir,
Fouad Elmejjati,
Badr Serji,
Tijani El Harroudi,
Mohammed Bouziane
Publication year - 2019
Publication title -
visceral medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.598
H-Index - 17
eISSN - 2297-475X
pISSN - 2297-4725
DOI - 10.1159/000502895
Subject(s) - actinomycosis , medicine , actinomyces , malignancy , pathological , rare disease , histopathological examination , disease , physical examination , differential diagnosis , penicillin , surgery , radiology , dermatology , pathology , antibiotics , genetics , bacteria , microbiology and biotechnology , biology
Abdominal actinomycosis is a rare, chronic, and often unrecognized suppurative disease. It is caused by an anaerobic gram-positive bacterium, most commonly Actinomyces israeli . Colonic actinomycosis is rarely reported and may be responsible for a pseudotumoral syndrome leading, in the suspicion of malignancy, to a large and mutilating excisional surgery. It is usually the histopathological examination of the surgical specimens that accurately corrects the diagnosis. Here, we report a rare case of a colic actinomycotic involvement taking a pseudotumoral form. The diagnosis was made based on the pathological examination of the surgical piece. Intravenous and then adjuvant oral penicillin G treatment has allowed a favorable clinical evolution. This observation illustrates the preoperative diagnostic difficulties of this rare disease.