Open AccessPrimary actinomycosis of anterior abdominal wall: A rare occurrence, diagnosed on fine needle aspiration cytology
Author(s) -
Mona Agnihotri,
Kanchan Kothari,
Leeik
Publication year - 2019
Publication title -
indian journal of pathology and microbiology/indian journal of pathology and microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.217
H-Index - 31
eISSN - 0974-5130
pISSN - 0377-4929
DOI - 10.4103/ijpm.ijpm_193_18
Subject(s) - actinomycosis , actinomyces , medicine , malignancy , abdominal wall , fine needle aspiration cytology , gram staining , fine needle aspiration , cytology , actinomyces israelii , radiology , surgery , antibiotics , pathology , biopsy , biology , genetics , bacteria , microbiology and biotechnology
Actinomycosis, a chronic suppurative and granulomatous infection, is caused by Actinomyces israeli. The common clinical presentations are cervicofacial, abdominal, and thoracic regions. Abdominal wall actinomycosis following pelvic or intraperitoneal involvement is known, but isolated abdominal wall involvement is extremely rare and can mimic malignancy. We report a case of primary actinomycosis of anterior abdominal wall, diagnosed on fine needle aspiration cytology (FNAC). Identifying fluffy colonies and branching swirling filaments positive for fungal and Gram stain on cytology smears aid correct diagnosis. FNAC is an effective and reliable tool for early diagnosis of actinomycosis. The treatment is centered around antibiotics, and thus it is essential to diagnose accurately and avoid unnecessary surgery.