Sonographiegesteuerte Feinnadelpunktion von Abszessen bei abdomineller Aktinomykose

Autor:	Grandel A, Weiler H, Dürre J
Rok vydání:	2002
Předmět:	medicine.medical_specialty Percutaneous biology business.industry medicine.medical_treatment biology.organism_classification medicine.disease Appendicitis Surgery Laparotomy Concomitant Actinobacillus Haemophilus Medicine Radiology Nuclear Medicine and imaging business Abscess Actinomyces
Zdroj:	Ultraschall in der Medizin. 23:52-56
ISSN:	1438-8782 0172-4614
DOI:	10.1055/s-2002-20074
Popis:	This report describes two cases of isolated abdominal actinomycosis. a) A 52-year-old man developed a peripancreatic abscess in the course of two years after laparoscopic cholecystectomy and repeated laparotomy because of postoperative peritonitis. b) A 19-year-old man, who had a perityphlitic abscess following appendectomy performed because of appendicitis. The definitive diagnosis of abdominal actinomycosis was confirmed by percutaneous ultrasound-guided fine-needle aspiration: In both cases culture of the aspirated material yielded Actinomyces (A.) israelii. As concomitant microflora we found Klebsiella and Actinobacter species in the first case and Haemophilus (Actinobacillus) actinomycetem comitans in the other case. "Sulfur granules" obtained from the pus showed histological aggregates of Actinomyces in both cases. After surgical treatment and antibiotic therapy, both patients recovered completely.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::60239bcaa2fdd2534d443d9de2e6b500 https://doi.org/10.1055/s-2002-20074 Zobrazit plný text záznamu