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Case report: actinomycosis of the appendix--an unusual cause of acute appendicitis in children.

Title: Case report: actinomycosis of the appendix--an unusual cause of acute appendicitis in children.
Authors: Liu V; Department of Pediatric Surgery, Long Island College Hospital, Brooklyn, NY 11201, USA. verena.ott@web.de; Val S; Kang K; Velcek F
Source: Journal of pediatric surgery [J Pediatr Surg] 2010 Oct; Vol. 45 (10), pp. 2050-2.
Publication Type: Case Reports; Journal Article
Language: English
Journal Info: Publisher: Saunders Country of Publication: United States NLM ID: 0052631 Publication Model: Print Cited Medium: Internet ISSN: 1531-5037 (Electronic) Linking ISSN: 00223468 NLM ISO Abbreviation: J Pediatr Surg Subsets: MEDLINE
Imprint Name(s): Publication: Philadelphia, PA : Saunders; Original Publication: New York.
MeSH Terms: Actinomycosis/*diagnosis ; Appendicitis/*diagnosis; Actinomycosis/drug therapy ; Actinomycosis/pathology ; Anti-Bacterial Agents/therapeutic use ; Appendicitis/drug therapy ; Appendicitis/pathology ; Cecal Diseases/diagnosis ; Cecal Diseases/drug therapy ; Cecal Diseases/pathology ; Penicillanic Acid/analogs & derivatives ; Penicillanic Acid/therapeutic use ; Penicillins/therapeutic use ; Piperacillin/therapeutic use ; Acute Disease ; Adolescent ; Appendectomy ; Female ; Humans ; Piperacillin, Tazobactam Drug Combination ; Prognosis ; Treatment Outcome
Abstract: Abdominal actinomycosis in children is a rare disease, which is occasionally found on histologic examination after an operation for acute appendicitis. Because of its nonspecific clinical and radiological signs and symptoms and low prevalence, the diagnosis is hardly ever made before the patient undergoes an operation and tissue is available for pathologic evaluation. When the diagnosis is made, the patient should be treated with the appropriate long-term antibiotics. With antibiotic therapy, the prognosis is favorable. We describe a 13-year-old girl who presented with acute appendicitis and was found to have abdominal actinomycosis after undergoing open appendectomy, which was treated successfully with penicillin and piperacillin-tazobactam.; (Copyright © 2010 Elsevier Inc. All rights reserved.)
Substance Nomenclature: 0 (Anti-Bacterial Agents); 0 (Penicillins); 157044-21-8 (Piperacillin, Tazobactam Drug Combination); 87-53-6 (Penicillanic Acid); X00B0D5O0E (Piperacillin)
Entry Date(s): Date Created: 20101006 Date Completed: 20110216 Latest Revision: 20181201
Update Code: 20260130
DOI: 10.1016/j.jpedsurg.2010.06.015
PMID: 20920728
Database: MEDLINE

Case Reports; Journal Article