Abdominal actinomycosis mimicking ruptured appendicitis/appendiceal tumor in a 4-year-old female: A case report with resolution using minimal antibiotics
Actinomycosis is a rare infection with Actinomyces israelii mostly seen in the craniofacial region in post pubertal individuals. We present the youngest case of abdominal actinomycosis in a 4-year-old female. Her initial presentation led to a diagnosis consistent with ruptured appendicitis with absc...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-06-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576623000787 |
| Summary: | Actinomycosis is a rare infection with Actinomyces israelii mostly seen in the craniofacial region in post pubertal individuals. We present the youngest case of abdominal actinomycosis in a 4-year-old female. Her initial presentation led to a diagnosis consistent with ruptured appendicitis with abscess on computed tomography (CT) imaging. Surgical exploration revealed a firm mass involving the cecum, appendix, sigmoid colon and bladder dome suggestive of a soft tissue tumor on frozen section. Final histologic analysis indicated abdominal actinomycosis in the cecum and sigmoid colon with no evidence of a neoplastic process. With source control, this patient did well with a very short course of antibiotics. |
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| ISSN: | 2213-5766 |