| Autor: |
Ferreira Cardoso M; Department of Gastroenterology, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Carneiro C; Department of General Surgery, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Carvalho Lourenço L; Department of Gastroenterology, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Graça Rodrigues C; Department of Gastroenterology, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Folgado Alberto S; Department of Gastroenterology, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Alagoa João A; Department of General Surgery, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Rocha R; Department of General Surgery, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Geraldes V; Department of General Surgery, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Costa A; Department of Imagiology, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Reis J; Department of Gastroenterology, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal., Nunes V; Department of General Surgery, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal. |
| Abstrakt: |
Actinomycosis is a rare but easily curable infection that should be considered in the differential diagnosis of perianal fistulizing disease. We present the case of a 26-year-old woman with complex perianal fistulae, including trans-sphincteric and suprasphincteric fistulous tracts and a rectovaginal fistula, requiring multiple abscess drainages, seton placement, and antibiotic courses, with little improvement. After extensive investigation, Actinomyces spp . was identified in anal cytology. The patient underwent a 6-week course of intravenous penicillin followed by oral amoxicillin, with remarkable improvement. This case illustrates the importance of pursuing less common diagnoses in refractory complex perianal disease, such as actinomycosis. |
