A Complicated Thread: Abdominal Actinomycosis in a Young Woman with Crohn Disease

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Abstract

Crohn disease is a chronic inflammatory condition that primarily affects the gastrointestinal tract. Typical manifestations include fever, weight loss, fatigue, and abdominal pain, and abdominal abscesses and fistulae are frequent complications. Abdominal actinomycosis is a subacute or indolent disease associated with Actinomyces spp. Symptoms can be very similar to those of Crohn disease, and fistulae are also common. Since ulcerations in the intestinal tract are thought to be caused by Actinomyces escaping from the gut lumen and establishing intra-abdominal infection, it seems likely that abdominal actinomycosis may occur in patients with inflammatory bowel disease. We report a case of abdominal actinomycosis in a woman with active Crohn disease.

Original languageEnglish (US)
Pages (from-to)377-381
Number of pages5
JournalCase Reports in Gastroenterology
Volume11
Issue number2
DOIs
StatePublished - 2017

Bibliographical note

Publisher Copyright:
© 2017 The Author(s). Published by S. Karger AG, Basel.

Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.

Keywords

  • Abdominal actinomycosis
  • Actinomyces
  • Actinomycosis
  • Crohn disease
  • Inflammatory bowel disease

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