Mnif H, Krichen Makni S, Khabir A, Samet Fakhfakh I, Trabelsi K, Charfi S, Ellouze S, Sellami Boudawara T
Laboratoire d'anatomie et de cytologie pathologique, CHU de Habib-Bourguiba, 3029 Sfax, Tunisie.
Rev Med Interne. 2006 Dec;27(12):946-9. doi: 10.1016/j.revmed.2006.07.021. Epub 2006 Aug 22.
Actinomycosis is a chronic suppurative granulomatous disease caused by different Actinomyces species, mostly bacillus: the Actinomyces israeli. The pelvis location of this infection is rare.
We report two cases of actinomycosis that were diagnosed after the surgical treatment of a suspected ovarian tumor and a suspected acute peritonitis. Diagnosis in both cases was based on the histopathologic findings.
The incidence of pelvic actinomycosis is increasing since 1960 related to the frequent use of intra uterine device. The clinical symptomatology is not specific, simulating a neoplastic or an inflammatory process. The treatment combines operative and antibiotic therapy.