Abdominal Actinomycosis Mimicking Acute Appendicitis in Children: a Case Report
Pediatric Infection & Vaccine
; : 170-175, 2018.
Article
in Ko
| WPRIM
| ID: wpr-741859
Responsible library:
WPRO
ABSTRACT
Actinomyces are anaerobic, Gram-positive bacteria that are part of the endogenous flora of mucous membranes in humans. Infection caused by these bacteria is termed actinomycosis. The 3 most common types of actinomycosis are cervicofacial, abdominopelvic, and pulmonary. A previously healthy 6-year-old boy presented with the emergency room with fever, vomiting, and abdominal pain and initially diagnosed with acute appendicitis. Exploratory laparoscopy was done. Histologic finding demonstrated acute gangrenous appendicitis complicated by perforation and sulfur granules compatible with actinomycosis. Subsequently, he was diagnosed with abdominal actinomycosis and received long-term antibiotic therapy. Abdominal actinomycosis is uncommon in children and difficult to diagnose because of its nonspecific symptoms and of difficulties in growing Actinomyces in the clinical setting. It is necessary to include abdominal actinomycosis as a differential diagnosis of children presenting with abdominal pain.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Appendicitis
/
Sulfur
/
Bacteria
/
Vomiting
/
Actinomyces
/
Actinomycosis
/
Abdominal Pain
/
Laparoscopy
/
Diagnosis, Differential
/
Emergency Service, Hospital
Type of study:
Diagnostic_studies
Limits:
Child
/
Humans
/
Male
Language:
Ko
Journal:
Pediatric Infection & Vaccine
Year:
2018
Type:
Article