A case series of actinomycosis from a single tertiary care center in Saudi Arabia
Actinomycosis is an uncommon but curable chronic infection caused by Actinomyces spp. The cervicofacial region is the most susceptible to infection; however, other sites may also become infected. Data on the current prevalence of this rare disease in Riyadh, Saudi Arabia is lacking. We herein report...
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doaj-757067a672904a7e97a962609d9ef2192021-07-02T17:41:47ZengElsevierIDCases2214-25092019-01-0115A case series of actinomycosis from a single tertiary care center in Saudi ArabiaFatehi Elzein0Razan Kharraz1Nahlah Arab2Fadhel Alotaibi3Abdulellah Almohaya4Alya Almutairy5Infectious Diseases Unit, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi Arabia; Corresponding author at: Infectious Diseases Unit, PSMMC Riyadh, P.O. Box 7897, Riyadh, 11159, Saudi Arabia.Infectious Diseases Unit, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi ArabiaColorectal Surgery Unit, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi ArabiaHistopathology Department, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi ArabiaInfectious Diseases Unit, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi ArabiaENT Department, Prince Sultan Military Medical City (PSMMC), Riyadh, Saudi ArabiaActinomycosis is an uncommon but curable chronic infection caused by Actinomyces spp. The cervicofacial region is the most susceptible to infection; however, other sites may also become infected. Data on the current prevalence of this rare disease in Riyadh, Saudi Arabia is lacking. We herein report a case series of four patients with actinomycosis from a single tertiary care center in Riyadh, Saudi Arabia.Three patients presented to us with slowly progressing actinomycosis and one patient developed an acute abdomen, secondary to viscus perforation. Two of the patients had cervicofacial disease, including hard palate actinomycosis. Tissue cultures were sent for three patients; however, tests for actinomycosis were negative. Subsequently, the diagnosis was made through histopathological examination. Therapy involved a combination of surgical resection and debridement and prolonged antimicrobial treatment tailored to each patient.The cases reported in this series highlight the difficulty in diagnosing actinomycosis. For most patients, the diagnosis was delayed or accidentally discovered on histopathological examination. We conclude that increased awareness among physicians is needed for early diagnosis and treatment of actinomycosis.http://www.sciencedirect.com/science/article/pii/S2214250919300137 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fatehi Elzein Razan Kharraz Nahlah Arab Fadhel Alotaibi Abdulellah Almohaya Alya Almutairy |
spellingShingle |
Fatehi Elzein Razan Kharraz Nahlah Arab Fadhel Alotaibi Abdulellah Almohaya Alya Almutairy A case series of actinomycosis from a single tertiary care center in Saudi Arabia IDCases |
author_facet |
Fatehi Elzein Razan Kharraz Nahlah Arab Fadhel Alotaibi Abdulellah Almohaya Alya Almutairy |
author_sort |
Fatehi Elzein |
title |
A case series of actinomycosis from a single tertiary care center in Saudi Arabia |
title_short |
A case series of actinomycosis from a single tertiary care center in Saudi Arabia |
title_full |
A case series of actinomycosis from a single tertiary care center in Saudi Arabia |
title_fullStr |
A case series of actinomycosis from a single tertiary care center in Saudi Arabia |
title_full_unstemmed |
A case series of actinomycosis from a single tertiary care center in Saudi Arabia |
title_sort |
case series of actinomycosis from a single tertiary care center in saudi arabia |
publisher |
Elsevier |
series |
IDCases |
issn |
2214-2509 |
publishDate |
2019-01-01 |
description |
Actinomycosis is an uncommon but curable chronic infection caused by Actinomyces spp. The cervicofacial region is the most susceptible to infection; however, other sites may also become infected. Data on the current prevalence of this rare disease in Riyadh, Saudi Arabia is lacking. We herein report a case series of four patients with actinomycosis from a single tertiary care center in Riyadh, Saudi Arabia.Three patients presented to us with slowly progressing actinomycosis and one patient developed an acute abdomen, secondary to viscus perforation. Two of the patients had cervicofacial disease, including hard palate actinomycosis. Tissue cultures were sent for three patients; however, tests for actinomycosis were negative. Subsequently, the diagnosis was made through histopathological examination. Therapy involved a combination of surgical resection and debridement and prolonged antimicrobial treatment tailored to each patient.The cases reported in this series highlight the difficulty in diagnosing actinomycosis. For most patients, the diagnosis was delayed or accidentally discovered on histopathological examination. We conclude that increased awareness among physicians is needed for early diagnosis and treatment of actinomycosis. |
url |
http://www.sciencedirect.com/science/article/pii/S2214250919300137 |
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