Unusual presentations of actinomycosis: a case series and literature review
| Autor: | Klaudija Višković, Boško Desnica, Mirjana Balen-Topić, Tomislava Skuhala, Andrija Stanimirović, Dalibor Vukelić |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Croatia Microbiology Asymptomatic Diagnosis Differential Sepsis Virology Humans Medicine actinomycosis skin stomach sepsis penis treatment Actinomycosis / pathology Abscess Pelvis Aged Retrospective Studies Actinomycosis / diagnosis biology business.industry Stomach General Medicine Middle Aged medicine.disease biology.organism_classification Dermatology Hospitalization Infectious Diseases medicine.anatomical_structure Female Parasitology Actinomycosis medicine.symptom business Actinomyces Penis |
| Popis: | Introduction: To review unusual actinomycosis cases that appeared as a diagnostic and therapeutic challenge at our institution and to present a literature review on the usual clinical presentations. Methodology: This retrospective review included all patients hospitalized for actinomycosis in a 10-year period at the University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, Zagreb, Croatia. Results: A total of 15 patients were hospitalized during the observed period, 9 (60%) females and 6 (40%) males. The localizations of actinomycosis were: pelvis (5), lungs (3), blood stream (2), colon (1), penis (1), stomach (1), skin (1), cervicofacial region (1). We present four unusual cases: subcutaneous actinomycotic abscess, actinomycosis of the stomach with underlying non-Hodgkin lymphoma, sepsis due to Actinomyces neslundii originated from chronic asymptomatic periapical tooth abscesses and actinomycosis of the distal part of the penile shaft. Conclusions: Actinomycosis was a very rare clinical problem in our clinical practice (0.032% of all hospitalizations and 0.0034% of all outpatients) but among those cases classical clinical presentations were also very rare. |
| Databáze: | OpenAIRE |
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