Abdominopelvic actinomycosis: An unexpected diagnosis in an elderly female with a destructive-appearing soft tissue mass

Autor: Elise Hyser, Drashti Antala, Harvey Friedman, Jonathan Stake
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: IDCases, Vol 28, Iss , Pp e01479- (2022)
Druh dokumentu: article
ISSN: 2214-2509
DOI: 10.1016/j.idcr.2022.e01479
Popis: We present the case of an elderly female who underwent a workup for acute blood loss anemia that incidentally led to the discovery of abdominopelvic actinomycosis. While esophagogastroduodenoscopy and colonoscopy were unremarkable, CT abdomen/pelvis displayed a soft tissue mass in the left sacral ala and presacral area that appeared suspicious for malignancy. MRI pelvis revealed a presacral abscess, and an IR-guided biopsy cemented the diagnosis. This case exemplifies how actinomycosis can mimic the presentation of cancer. Risk factors included a history of ischemic colitis and lumbar laminectomy, as mucosal tissue compromise and orthopedic hardware can be niduses for infection.
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