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Actinomycosis: Unexpected finding of acute appendicitis in a child

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dc.contributor.authorHaza Syakirin Mohamad Zinen_US
dc.contributor.authorWan Azura Wan Yaacoben_US
dc.contributor.authorNur Syahrina Rahimen_US
dc.contributor.authorHashimah Abdul Rahmanen_US
dc.date.accessioned2024-05-28T06:37:10Z
dc.date.available2024-05-28T06:37:10Z
dc.date.issued2015-08
dc.descriptionThe 2015 Annual Scientific Meeting of the College of Pathologists, Academy of Medicine Malaysia & 40th Anniversary Celebration of the Pathology Advocates was held at Berjaya Time Square Hotel, Kuala Lumpur from 13-14 June 2015.en_US
dc.description.abstractIntroduction: Actinomycosis is a chronic progressive suppurative disease commonly caused by Actinomyces israelii. Abdominopelvic actinomycosis is rare and the appendix is the most common organ involved. Here, we would like to share a case of actinomycosis presented as acute appendicitis in a child. Case report: A 13-year-old boy presented with 5 days history of colicky periumbilical and right iliac fossa pain which was associated with fever and vomiting. He was febrile on examination. There was rebound tenderness on right iliac fossa. His blood count showed leucocytosis with neutrophils predominant. Acute appendicitis was suspected clinically and surgery was performed. Intraoperative findings showed an appendicular mass with localized abscess collections. The appendix was enlarged with macerated mesoappendix. Histology of the appendicular tissue showed acute appendicitis with dense suppurative inflammatory exudates seen in the outer appendicular wall, serosa and mesoappendix with abscess formation. Actinomyces colonies with typical sulphur granules and inflammatory exudate are seen in the lumen. Discussion and conclusion: Abdominopelvic actinomycosis may have resemblance to other disease such as acute appendicitis, diverticulitis or Crohn’s disease. However, histological examination would be able to distinguish them. A combination of long term antibiotic therapy and adequate surgery is necessary to ensure complete eradication. Actinomycosis should be included in the differential diagnosis, especially in patients with abdominal pain, fever, and leukocytosis.en_US
dc.identifier.citationZin, Haza & Yaacob, Wan & Rahim, Nur & Rahman, Hashimah. (2015). Actinomycosis: Unexpected finding of acute appendicitis in a child.en_US
dc.identifier.epage190
dc.identifier.issn0126-8635
dc.identifier.issue2
dc.identifier.spage190
dc.identifier.urihttp://www.mjpath.org.my/2015/v37n2/abstracts.pdf
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/7362
dc.identifier.volume37
dc.language.isoenen_US
dc.publisherCollege of Pathologists, Academy of Medicine Malaysiaen_US
dc.relation.ispartofThe Malaysian Journal of Pathologyen_US
dc.titleActinomycosis: Unexpected finding of acute appendicitis in a childen_US
dc.typeArticleen_US
dspace.entity.typePublication

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