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Case Report

Primary Actinomycosis Masquerading as a Soft Tissue Tumour of the Abdominal Wall: A Rare Case Report

Siddharth Tamaskar. , Alish Rajesh Mehta1 , Siddharth Tamaskar2 , Sandeep Dave3

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New Indian Journal of Surgery 11(3):p 419-422, July – September 2020. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11320.25

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Alish Rajesh Mehta, Siddharth Tamaskar, Sandeep Dave, Primary Actionomycosis Masquerading as a Soft Tissue Tumour of the
Abdominal Wall: A Rare Case Report. New Indian J Surg. 2020;11(3):419–422.
 


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Abstract

Actinomycosis is a sub-acute-to-chronic bacterial
infection caused by filamentous, gram-positive,
non–acid-fast, anaerobic to microaerophilic bacteria
Actinomyces israeli. Clinically, it presents, in the
descending order, over cervicofacial, abdominal and
thoracic regions. Abdominal wall actinomycosis is
known to involve pelvic or intraperitoneal regions
but abdominal wall involvement primarily is rare.
Hereby, we report a case of primary abdominal wall
actinomycosis in a 43-year-old male who presented
with right-sided abdominal wall mass of 6 months
duration. CT abdomen done was suggestive of
heterogeneous enhancement of rectus abdominis
muscle. True cut biopsy revealed radiating
filamentous colony positive morphologically
suggesting actinomycosis. The main treatment is
antibiotics to which he responded well, and thus
it is essential to diagnose accurately and avoid
unnecessary surgery.


Keywords: Actinomycosis; Abdominal Wall
 


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Cite this article

Alish Rajesh Mehta, Siddharth Tamaskar, Sandeep Dave, Primary Actionomycosis Masquerading as a Soft Tissue Tumour of the
Abdominal Wall: A Rare Case Report. New Indian J Surg. 2020;11(3):419–422.
 


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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11320.25

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