preview

Actinomycosis

Decent Essays

Actinomycosis is a rare, chronic, and slowly progressive granulomatous disease caused by filamentous Gram positive anaerobic bacteria from the Actinomycetaceae family. Actinomyces israelii is the most common etiologic organism of actinomycosis [1]. Less common species include A naeslundii, A odontolyticus, A viscosus, A meyeri, A turicensis, and A radingae [9.10]. Actinomyces are commensals of the humanoropharynx, gastrointestinal tract and urogenital tract. When tissue integrity is breached through a mucosal lesion they can incade local structures and organs and become pathogenic. Actinomycosis is therefore mainly an endogenous infection [9]. The incidence of actinomycosis infection is rare. In the 1970s the incidence in Cleveland, USA, was reported to be one per 300 000, compared with Germany and the Netherlands in the 1960s where it was estimated to be one per million [11]. The Department of Health in the United Kingdom reported that 0.0006% of hospital consultations (71 in total) were for actinomycosis in England between 2002 and 2003[12]. In recent, abdominopelvic actinomycosis of 23 patients for 15 years and 22 patients for 7 years were reported in respective single center in Korea [13-14]. In present study, we reported 13 patients of abdominoplevic actinomycosis for 20 years. Actinomycosis is classified into distinct clinical forms according to the anatomical site infected: orocervicofacial, thoracic, abdominopelvic, central nervous system, musculoskeletal, and disseminated. …show more content…

In present study, all patients had no recurrence after treatment during follow period. The previously reported mortality range is from 0% to 28%. Effect factor of mortality is depending on the site of infection, the time to diagnosis, the time to the start of appropriate treatment, co-existing central nervous system disease [27]. In present study, there was no surgery related complication and

Get Access