Abdominal actinomycosis in children
Stefan, H.; Lehká, J.
Sbornik Vedeckych Praci Lekarske Fakulty Karlovy Univerzity V Hradci Kralove. Suppl 33(2): 207-213
1990
ISSN/ISBN: 0049-5522 PMID: 2263916 Document Number: 352519
A total of four children (1 female and 3 male subjects aged from 3.5 to 10 years) is reported as treated by surgery and antibiotics for the abdominal focus of actinomycosis. The infection was manifested as an infiltration around the inflamed appendix in one case, the second case was related with multiple infiltrations in the abdominal wall and pelvic region. Two patients showed cyst and eventually urachal sinus infiltrated with actinomycosis. The diagnosis was determined in all cases from histology. In three cases, the inflammatory tumor was exstirpated in toto. The treatment with penicillin combined with streptomycin or other antibiotic has lasted no longer than 6, 28, 29 and 80 days, respectively. The emphasis is made on the benefit of resectional surgery which reduces the amount of antibiotics needed and shortens the therapeutic course of actinomycosis.