Endoscopic detection and therapy of colonic actinomycosis.

Autor: Piper MH; Department of Internal Medicine, Macomb Hospital Center, Warren, Michigan., Schaberg DR, Ross JM, Shartsis JM, Orzechowski RW
Jazyk: angličtina
Zdroj: The American journal of gastroenterology [Am J Gastroenterol] 1992 Aug; Vol. 87 (8), pp. 1040-2.
Abstrakt: Abdominal actinomycosis is a disease that is difficult to diagnose nonoperatively. Usual manifestations are abscesses and draining sinus tracts. Treatment is typically surgical and requires prolonged intravenous antibiotics. Presented is a patient who underwent surveillance colonoscopy after resection for colon carcinoma. Diagnosis of colonic actinomycosis and subsequent resolution was demonstrated endoscopically after lengthy oral penicillin therapy (2 g/day for 1 yr). This case documents that resection may not be necessary to effect cure of abdominal actinomycosis.
Databáze: MEDLINE