Korean J Gastrointest Endosc.  2003 Dec;27(6):553-557.

A Case of Anorectal Actinomycosis

Affiliations
  • 1Department of Internal Medicine, Hallym University College of Medicine, Korea. sojuck@yahoo.co.kr
  • 2Department of General Surgery, Hallym University College of Medicine, Korea.
  • 3Department of Pathology, Hallym University College of Medicine, Korea.

Abstract

Actinomycosis is an indolent, slowly progressive infection caused by actinomyces species that normally colonize the mouth, colon, and vagina, characterized by sulfur granule formation. Actinomycosis can affect multiple organs, with local or systemic manifestations. The abdomen is involved in less than 20% of the cases with the ileocecal area being the site most frequently affected. The anorectal region is less frequently involved. We report a case of anorectal actinomycosis, which was diagnosed by histologic study of sigmoidoscopic biopsy. The patient was a 40-year-old man who took immunosuppressive agents after kidney transplantation. Adequate surgical excision was done, being followed by administration of massive dose of a penicillin.

Keyword

Actinomycosis; Anorectum; Sigmoidoscopy; Kidney transplantation

MeSH Terms

Abdomen
Actinomyces
Actinomycosis*
Adult
Biopsy
Colon
Humans
Immunosuppressive Agents
Kidney Transplantation
Mouth
Penicillins
Sigmoidoscopy
Sulfur
Vagina
Immunosuppressive Agents
Penicillins
Sulfur
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