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Órgano Oficial de la Sociedad
Latinoamericana de lnfectología Pediátrica.
Órgano de la Asociación Mexicana de
Infectología Pediátrica, A.C.
Órgano difusor de la Sociedad Española
de lnfectología

2024, Number 1

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Rev Latin Infect Pediatr 2024; 37 (1)

Intestinal actinomycosis: unexpected diagnosis in a schoolchild with type 1 diabetes mellitus. Case report

Pérez-Ávila HF, Mauleón-Carbajal G, Morayta-Ramírez-Corona ARR, Martínez-Bustamante ME, Acosta-Martínez MF, Martínez-Mijares C, Zaragoza-García D

Language: Spanish
References: 12
Page: 39-43
PDF size: 242.21 Kb.


ABSTRACT

Actinomycosis is a rare infectious granulomatous disease of subacute or chronic course, caused by opportunistic filamentous bacteria of the genus Actynomices, of which Actynomices israelii, an anaerobic gram-positive, non-sporulating and non-acid-alcohol resistant bacillus, is the most frequently isolated. It is characterized by generating tumorous masses that deform the affected area and is accompanied by abscesses that drain a purulent exudate containing the infecting forms called "sulfur granules". The treatment combines tumor resection with antibiotic therapy, achieving a satisfactory evolution. We present the clinical case of an 8-year-old female with type 1 diabetes mellitus, with long-standing abdominal pain and a progressively increasing right periumbilical tumor. There are no signs of peritoneal irritation and multiple treatments have shown no improvement. Diagnostic images showed a mass dependent on the terminal ileum. Surgical excision was performed with bloc intestinal resection; the histopathological study reported chronic enteritis and fibrosis with granules of bacteria of the Actynomices spp. group.


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