Article: ONLINE ONLY: Abdominal actinomycosis mimicking acute appendicitis

Article from:
Canadian Journal of Surgery
Article date:
October 1, 2008
Author:
Copyright

The most common etiologic organism associated clinically with actinomycosis is Actinomyces israelii. Actinomyces species exist in the normal flora of the gastrointestinal system and female genitourinary tracts. Abdominal actinomycosis accounts for 20% of all cases, and its diagnosis is difficult.1

We report a case of abdominal actinomycosis that mimicked acute appendicitis.

Case report

A 51-year-old woman with right lower quadrant abdominal pain, fever and vomiting that persisted for 3 days was admitted to our emergency service. On physical examination, her pulse rate was 96 beats/min, her body temperature was 37.4°C, and she had tenderness and rebound pain in the right lower quadrant of ...

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