Endoscopic detection and therapy of colonic actinomycosis

Abdominal actinomycosis is a disease that is difficult to diagnose nonoperatively. Usual manifestations are abscesses and draining sinus tracts. Treatment is typically surgical and requires prolonged intravenous antibiotics. Presented is a patient who underwent surveillance colonoscopy after resecti...

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Bibliographic Details
Published inThe American journal of gastroenterology Vol. 87; no. 8; p. 1040
Main Authors Piper, M H, Schaberg, D R, Ross, J M, Shartsis, J M, Orzechowski, R W
Format Journal Article
LanguageEnglish
Published United States 01.08.1992
Subjects
Actinomycosis - diagnosis
Actinomycosis - drug therapy
Aged
Chronic Disease
Colitis - diagnosis
Colitis - drug therapy
Colonoscopy
Female
Humans
Penicillins - therapeutic use
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Summary:Abdominal actinomycosis is a disease that is difficult to diagnose nonoperatively. Usual manifestations are abscesses and draining sinus tracts. Treatment is typically surgical and requires prolonged intravenous antibiotics. Presented is a patient who underwent surveillance colonoscopy after resection for colon carcinoma. Diagnosis of colonic actinomycosis and subsequent resolution was demonstrated endoscopically after lengthy oral penicillin therapy (2 g/day for 1 yr). This case documents that resection may not be necessary to effect cure of abdominal actinomycosis.
ISSN:0002-9270
DOI:10.1111/j.1572-0241.1992.tb02942.x