Perianal Actinomycosis: A Surgeon's Perspective and Review of Literature

Alexios Dosis; Atia Khan; Henrietta Leslie; Sahar Musaad; Adrian Smith

doi:10.3393/ac.2021.00332.0047

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저자정보: Alexios Dosis (Calderdale and Huddersfield NHS Foundation Trust) Atia Khan (Calderdale and Huddersfield NHS Foundation Trust) Henrietta Leslie (Calderdale and Huddersfield NHS Foundation Trust) Sahar Musaad (Calderdale and Huddersfield NHS Foundation Trust) Adrian Smith (Calderdale and Huddersfield NHS Foundation Trust)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.37 No.5

발행연도: 2021.10

수록면: 269 - 274 (6page)

DOI: 10.3393/ac.2021.00332.0047

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Actinomycosis is a serious suppurative, bacterial infection caused by the gram-positive anaerobic Actinomyces species. Primary perianal actinomycosis is rare and challenging for the colorectal surgeon. We aimed to present our experience and compare this with available literature. All patients with isolated Actinomyces on microbiology reports, between January 2013 and February 2021, were identified and reviewed. Data collection was retrospective based on electronic patient records. The site of infection and treatment strategy were examined. Perianal cases were evaluated in depth. All publications available in the literature were interrogated. Fifty-nine cases of positive actinomycosis cultures were reviewed. Six cases of colonization were excluded. Actinomyces turicensis was the most common organism isolated. Five cases of perianal actinomycosis were identified requiring prolonged antibiotic and surgical therapy. Twenty-one studies, most case reports, published since 1951 were also reviewed. Diagnosis of perianal actinomycosis may be challenging but should be suspected particularly in recurrent cases. Prolonged bacterial cultures in anaerobic conditions are necessary to identify the bacterium. An extended course of antibiotic therapy (months) is required for eradication in certain cases.

#Actinomycosis #Abscess #Anal canal #Fistula

참고문헌 (30)

참고문헌 신청

Sahnan K / 2017 / Perianal abscess / BMJ 356:j475

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

Ross ST / 1988 / Fistula in ano / Surg Clin North Am 68:1417~1426

Brewer NS / 1974 / Primary anorectal actinomycosis / JAMA 228:1397~1400

Axel Egal / 2018 / Diagnosis and Management of a Cryptoglandular Actinomycotic Fistula-in-Ano: An Update on 7 New Cases and a Review of the Literature / Annals of Coloproctolgy 34(3):152~156

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