Diagnosis and Management of a Cryptoglandular Actinomycotic Fistula-in-Ano: An Update on 7 New Cases and a Review of the Literature

Axel Egal; Isabelle Etienney; Heym Beate; Jean Francois Fléjou; Charles André Cuenod; Patrick Atienza; Pierre Bauer

추천

검색

자료유형: 학술저널

저자정보: Axel Egal (Diaconesses-Croix Saint-Simon Hospital) Isabelle Etienney (Diaconesses-Croix Saint-Simon Hospital) Heym Beate (Saint-Antoine Hospital APHP) Jean Francois Fléjou (Saint-Antoine Hospital APHP) Charles André Cuenod (George Pompidou European Hospital) Patrick Atienza (Diaconesses-Croix Saint-Simon Hospital) Pierre Bauer (Diaconesses-Croix Saint-Simon Hospital)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.34 No.3

발행연도: 2018.1

수록면: 152 - 156 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: Primary anal actinomycosis of cryptoglandular origin, a rare cause of anal suppurative disease, requires specific management to be cured. The aims of this retrospective study were to describe clinical, morphological, and microbiological features of this entity and to evaluate management practices for new cases observed since 2001. Methods: This was a retrospective case series conducted at the Diaconesses-Croix Saint-Simon Hospital in Paris. Results: From January 2001 to July 2016, 7 patients, 6 males and 1 female (median, 49 years), presenting with an actinomycotic abscess with a cryptoglandular anal fistula were included for study. The main symptom was an acute painful ischioanal abscess. One patient exhibited macroscopic small yellow granules (“sulfur granules”), another “watery pus” and a third subcutaneous gluteal septic metastasis. All patients were overweight (body mass index ≥ 25 kg/m2). Histological study of surgically excised tissue established the diagnosis. All the patients were managed with a combination of classical surgical treatment and prolonged antibiotic therapy. No recurrence was observed during follow-up, the median follow-up being 3 years. Conclusion: Actinomycosis should be suspected particularly when sulfur granules are present in the pus, patients have undergone multiple surgeries or suppuration has an unusual aspect. Careful histological examination and appropriate cultures of pus are needed to achieve complete eradication of this rare, but easily curable, disease.

참고문헌 (25)

참고문헌 신청

Bauer P / 2006 / Perianal actinomycosis: diagnostic and management considerations: a review of six cases / Gastroenterol Clin Biol 30:29~32

Coremans G / 2005 / Actinomycosis, a rare and unsuspected cause of anal fistulous abscess: report of three cases and review of the literature / Dis Colon Rectum 48:575~581

Fry RD / 1992 / Actinomyces as a cause of recurrent perianal fistula in the immunocompromised patient / Surgery 111:591~594

Parks AG / 1976 / A classification of fistula-in-ano / Br J Surg 63:1~12

Wong VK / 2011 / Actinomycosis / BMJ 343:d6099

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!