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Gastric Actinomycosis Case Report and Literature Review

Received: 3 December 2020     Accepted: 11 January 2021     Published: 22 January 2021
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Abstract

Actinomycosis is an indolent infection that usually presents a diagnostic challenge to the physician. The most commonly affected zones are the cervicofacial, thoracic and abdominal areas. Abdominal actinomycosis although recognized for more than 150 years, is still wide unknown for most of the clinicians. Its various clinical manifestations are usually considered to present malignant process rather than infection. Intramural gastric actinomycosis is extremely rare clinical noosologic unit and usually the original source of infection is unknown. The usual clinical presentations include mild fever, epi- or mesogastric pain, weight loss, and bleeding from upper gastrointestinal tract. This chronic infection has tends to mimic malignancy. Gastric actinomycosis is very rare and with a good prognosis gastric disease. When established clinically, that is quite difficult diagnosis to be done before obtaining a surgical specimen. Although the findings are nonspecific, actinomycosis should be included in the differential diagnosis when CT scans show infiltrative mass with abnormal aggressiveness and dense enhancement of inhomogeneous contrast, especially in patients with leukocytosis, fever, or prolonged use of intrauterine contraceptives. We report a case of intramural gastric actinomycosis and review of cases of abdominal and gastric actinomycosis reported rarely in the literature. Reporting of such clinical case may help clinicians to increase the knowledge and awareness of this rare and treatable disease.

Published in International Journal of Gastroenterology (Volume 5, Issue 1)
DOI 10.11648/j.ijg.20210501.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Actinomycosis, Gastric Localization, Gastrectomy

References
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[2] Berardi RS. Abdominal actinomycosis. Surg Gynaecol Obstet 1979; 149: 257-66.
[3] Cintron JR, Del Pino A, Duarte B, Wood D. Abdominal actinomycosis. Report of two cases and review of the literature. Dis Colon Rectum 1996; 39: 105-8.
[4] Cope Z. Visceral actinomycosis. Br Med J 1949; 2: 1311-6.
[5] Das N, Lee J, Madden M, et al. A rare case of abdominal actinomycosis presenting as an inflammatory pseudotumour. Int J Colorectal Dis. 2006; 21: 483-484.
[6] Garner J. P., M. Macdonald, P. K. Kumar - Abdominal actinomycosis. International Journal of Surgery (2007) 5, 441-448.
[7] Fernandez-Acenero MJ, Silvestre V, Fernandez-Roldan R, Cortes L. Garcia-Blanch G. Gastric actinomycosis: A rare complication after gastric bypass for morbid obesity. Obesity Surgery: 14, 1012-1025.
[8] Ha HK, Lee HJ, Kim H, Ro HJ. Abdominal actinomycosis: CT findings in 10 patients. Am J Roentgenol 1993; 161: 791-4.
[9] Harsch IA, Benninger J, Niedobitek G, et al. Abdominal actinomycosis: complication of endoscopic stenting in chronic pancreatitis. Endoscopy 2001; 33: 1065-9.
[10] Heo SH, Shin SS, Kim JW et al. Imaging of Actinomycosis in Various Organs: A Comprehensive Review. RadioGraphics 2014; 34: 19-33.
[11] Kaszuba M, Tomaszewska R, Pityñski K, et al. Actinomycosis mimicking advanced cancer. Pol Arch Med Wewn 2008; 118: 581-4.
[12] Lee CM, Ng SH, Wan YL, Tsai CH. Gastric actinomycosis. J Formos Med Assoc 1996; 95 (1): 66-8.
[13] Lee IJ, Ha HK, Park CM, et al. Abdominopelvic actinomycosis involving the gastrointestinal tract: CT features. Radiology 2001; 220 (1): 76–80.
[14] Oksuz M, Sandikci S, Culhaci A, et al. Primary gastric actynomicosis: A case report. Turkish Journal of Gastroenterology 2007, Volume 18, No 1, page 44-46.
[15] Schaal K, Lee H. Actinomycete infections in humans: a review. Gene 1992; 115: 201-11.
[16] Sumer Y, Yilmaz B, Emre B, et al. Abdominal mass secondary to actinomyces infection: an unusual presentation and its treatment. J Postgrad Med 2004; 50: 115-7.
[17] Yegüez JF, Martinez SA, Sands LR, Hellinger MD. Pelvic actinomycosis presenting as malignant large bowel obstruction: a case report and a review of the literature. Am Surg 2000; 66 (1): 85–90.
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Cite This Article
  • APA Style

    Plamen Chernopolsky, Rossen Madjov, Vasil Bozhkov, Ivan Krasnaliev, Valentina Madjova. (2021). Gastric Actinomycosis Case Report and Literature Review. International Journal of Gastroenterology, 5(1), 1-4. https://doi.org/10.11648/j.ijg.20210501.11

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    ACS Style

    Plamen Chernopolsky; Rossen Madjov; Vasil Bozhkov; Ivan Krasnaliev; Valentina Madjova. Gastric Actinomycosis Case Report and Literature Review. Int. J. Gastroenterol. 2021, 5(1), 1-4. doi: 10.11648/j.ijg.20210501.11

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    AMA Style

    Plamen Chernopolsky, Rossen Madjov, Vasil Bozhkov, Ivan Krasnaliev, Valentina Madjova. Gastric Actinomycosis Case Report and Literature Review. Int J Gastroenterol. 2021;5(1):1-4. doi: 10.11648/j.ijg.20210501.11

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  • @article{10.11648/j.ijg.20210501.11,
      author = {Plamen Chernopolsky and Rossen Madjov and Vasil Bozhkov and Ivan Krasnaliev and Valentina Madjova},
      title = {Gastric Actinomycosis Case Report and Literature Review},
      journal = {International Journal of Gastroenterology},
      volume = {5},
      number = {1},
      pages = {1-4},
      doi = {10.11648/j.ijg.20210501.11},
      url = {https://doi.org/10.11648/j.ijg.20210501.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20210501.11},
      abstract = {Actinomycosis is an indolent infection that usually presents a diagnostic challenge to the physician. The most commonly affected zones are the cervicofacial, thoracic and abdominal areas. Abdominal actinomycosis although recognized for more than 150 years, is still wide unknown for most of the clinicians. Its various clinical manifestations are usually considered to present malignant process rather than infection. Intramural gastric actinomycosis is extremely rare clinical noosologic unit and usually the original source of infection is unknown. The usual clinical presentations include mild fever, epi- or mesogastric pain, weight loss, and bleeding from upper gastrointestinal tract. This chronic infection has tends to mimic malignancy. Gastric actinomycosis is very rare and with a good prognosis gastric disease. When established clinically, that is quite difficult diagnosis to be done before obtaining a surgical specimen. Although the findings are nonspecific, actinomycosis should be included in the differential diagnosis when CT scans show infiltrative mass with abnormal aggressiveness and dense enhancement of inhomogeneous contrast, especially in patients with leukocytosis, fever, or prolonged use of intrauterine contraceptives. We report a case of intramural gastric actinomycosis and review of cases of abdominal and gastric actinomycosis reported rarely in the literature. Reporting of such clinical case may help clinicians to increase the knowledge and awareness of this rare and treatable disease.},
     year = {2021}
    }
    

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    T1  - Gastric Actinomycosis Case Report and Literature Review
    AU  - Plamen Chernopolsky
    AU  - Rossen Madjov
    AU  - Vasil Bozhkov
    AU  - Ivan Krasnaliev
    AU  - Valentina Madjova
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    DO  - 10.11648/j.ijg.20210501.11
    T2  - International Journal of Gastroenterology
    JF  - International Journal of Gastroenterology
    JO  - International Journal of Gastroenterology
    SP  - 1
    EP  - 4
    PB  - Science Publishing Group
    SN  - 2640-169X
    UR  - https://doi.org/10.11648/j.ijg.20210501.11
    AB  - Actinomycosis is an indolent infection that usually presents a diagnostic challenge to the physician. The most commonly affected zones are the cervicofacial, thoracic and abdominal areas. Abdominal actinomycosis although recognized for more than 150 years, is still wide unknown for most of the clinicians. Its various clinical manifestations are usually considered to present malignant process rather than infection. Intramural gastric actinomycosis is extremely rare clinical noosologic unit and usually the original source of infection is unknown. The usual clinical presentations include mild fever, epi- or mesogastric pain, weight loss, and bleeding from upper gastrointestinal tract. This chronic infection has tends to mimic malignancy. Gastric actinomycosis is very rare and with a good prognosis gastric disease. When established clinically, that is quite difficult diagnosis to be done before obtaining a surgical specimen. Although the findings are nonspecific, actinomycosis should be included in the differential diagnosis when CT scans show infiltrative mass with abnormal aggressiveness and dense enhancement of inhomogeneous contrast, especially in patients with leukocytosis, fever, or prolonged use of intrauterine contraceptives. We report a case of intramural gastric actinomycosis and review of cases of abdominal and gastric actinomycosis reported rarely in the literature. Reporting of such clinical case may help clinicians to increase the knowledge and awareness of this rare and treatable disease.
    VL  - 5
    IS  - 1
    ER  - 

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Author Information
  • University Hospital “St. Marina”, Medical University, Varna, Bulgaria

  • University Hospital “St. Marina”, Medical University, Varna, Bulgaria

  • University Hospital “St. Marina”, Medical University, Varna, Bulgaria

  • University Hospital “St. Marina”, Medical University, Varna, Bulgaria

  • University Hospital “St. Marina”, Medical University, Varna, Bulgaria

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