Childhood actinomycosis: report of two cases

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
S BenammarJ Raymond

Abstract

The authors report two cases of actinomycosis in children: one thoracic and the other retroperitoneal. They emphasize the difficulties of diagnosis before the stage of parietal extension with cutaneous fistula and characteristic yellow granular discharge. These difficulties are due to: The rarity of visceral actinomycosis, particularly in children. The lesion has a similar appearance to that of a tumor; an extensive pre-operative work-up is mandatory (ultrasound, computed tomogram scan, repeated ultrasound-guided needle biopsy), although this work-up may not necessarily lead to the correct diagnosis. A surgical biopsy will often confirm the diagnosis, provided the diagnosis has been previously considered. The necessity of using very specific tests for correct identification of the organism. Therefore, in a case of pseudo-inflammatory pseudotumor, visceral actinomycosis must be considered in order to guide microbiological and pathological studies, although this diagnosis is rare. Once the diagnosis has been made, prolonged treatment with penicillin is effective and complete recovery is generally obtained.

Citations

Jun 18, 2014·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M AharmimG Iraqi
Jan 9, 2009·Indian Journal of Pediatrics·Solmaz CelebiMustafa Hacimustafaoglu
Jul 1, 2008·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M KabiriE H Kabiri
Jun 15, 2007·Journal of Pediatric Surgery·Murat YiğiterAkgün Hiçsönmez
Jan 23, 2020·Clinical Pediatrics·Ivan MarquezChokechai Rongkavilit
Nov 22, 2016·The Pediatric Infectious Disease Journal·Noppadol WacharachaisurapolPia S Pannaraj
Jan 5, 2008·The Pediatric Infectious Disease Journal·Allison H BartlettCarol J Baker

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Actinomycosis

Actinomycosis is a rare, chronic, and slowly progressive granulomatous disease caused by filamentous Gram positive anaerobic bacteria from the Actinomycetaceae family (genus Actinomyces). The disease is characterised by the formation of painful abscesses in the mouth, lungs,breast or gastrointestinal tract. Discover the latest research on actinomycosis here.

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