Abstract
A case of pelvic actinomycosis is presented. The patient is 42-year-old female with a 5 weeks history of pelvic pain. An intrauterine device (IUD) was taken out 3 weeks ago. There is a lump length 9 cm between rectus muscles. Ultrasound, magnetic resonance imaging (MRI) and histology are used to make the diagnosis. Actinomycosis can mimic the tumour disease. The definitive diagnosis requires positive anaerobic culture or histological identification of actinomyces granulas. A long lasting antibiotic therapy is performed.
Highlights
Actinomycosis is a chronic infectious disease caused by the microorganism of genera Actinomyces
Actinomyces is a part of normal mucosal flora in oropharynx, gastrointestinal tract (GIT) and female genital tract
Actinomycosis is a slowly progressing chronic infectious disease caused by Grampositive anaerobic bacteria genera Actinomyces, most frequently Actinomyces israelli
Summary
Actinomycosis is a chronic infectious disease caused by the microorganism of genera Actinomyces. Actinomyces is a part of normal mucosal flora in oropharynx, gastrointestinal tract (GIT) and female genital tract. It causes infection only when the surface of the tissue is broken, mainly due to the presence of foreign body (intrauterine device – IUD) or failure in integrity of mucosa. The infection spreads contiguously crossing the anatomic barriers. Actinomycosis can be mistaken for malignant tumour in the pelvis. The definitive diagnosis requires positive anaerobic culture or histological identification of actinomyces granulas. Antibiotics for several weeks to months are required
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