Naslov
Actinomycosis - our experience: a case series

Autori
Skuhala, Tomislava ; Vukelić, Dalibor ; Desnica, Boško ; Mudrovčić, Monika ; Škrabić, Iva ; Prepolec, Jelena ; Oroši, Dorotea

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Skup
2nd South-East European Conference on Travel, Tropical, Migration Medicine and HIV and the 3rd Croatian Conference on Travel, Tropical, Migration Medicine and HIV

Mjesto i datum
Dubrovnik, Hrvatska, 04.07.2017. - 07.07.2017

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
Actinomycosis

Sažetak
OBJECTIVES: To evaluate the frequency of hospitalizations due to any type of actinomycosis and to single out several interesting cases that appeared as diagnostic and therapeutic challenge. METHODS: This retrospective review included all patients hospitalized for actinomycosis between January 1, 2009 and December 31, 2018 at the University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, Zagreb, Croatia and four especially interesting cases were chosen for presentation. RESULTS: A total of 15 patients were hospitalized during the observed period, 9 (60%) women and 6 (40%) men. Three of them were hospitalized 2 times. The localisations of actinomycoses were: pelvic 33, 3% (5), lungs 20% (3), sepsis 13, 3% (2), colon 6, 7% (1), penis 6, 7% (1), stomach 6, 7% (1), skin 6, 7% (1), cervicofacial region 6, 7% (1). We present four cases: 1. A 45-year-old male with a medical history of surgical correction of the distal penile hypospadia in childhood with penile actinomycosis that was treated with intravenous clindamycin for 3 weeks followed by oral amoxicillin for the next 3 months with rapid clinical response and no signs of relapse. 2. A 75-year-old male with a medical history of paravertebral injection treatment because of radiculopathy with subcutaneous actinomycotic abscess in the costovertebral triangle region that was treated with penicillin/derivates of penicillin for 20 days followed by doxycycline with favorable clinical results. 3. A 64-year-old male diabetic that was treated for stomach actinomycosis with parenteral penicillin and in whom gastroscopic examination revealed underlying non-Hodgkin lymphoma of the stomach. 4. A 49-year-old male with no significant illness in his medical history that was hospitalized because of Actinomyces neslundii sepsis originating from chronic asymptomatic periapical tooth abscess. CONCLUSION: Actinomycosis was a very rare clinical problem in our clinical practice (0, 032% of all hospitalizations and 0, 0034% of all outpatients) but classical clinical presentations were also very rare.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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