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Sik Kyung Choi1
, Yun Gyu Bang1, Hyeonsik Oh2, Jin Lee1
, Yun Gyu Bang1, Hyeonsik Oh2, Jin Lee1
Abstract
Actinomyces are anaerobic, Gram-positive bacteria that are part of the endogenous flora of mucous membranes in humans. Infection caused by these bacteria is termed actinomycosis. The 3 most common types of actinomycosis are cervicofacial, abdominopelvic, and pulmonary. A previously healthy 6-year-old boy presented with the emergency room with fever, vomiting, and abdominal pain and initially diagnosed with acute appendicitis. Exploratory laparoscopy was done. Histologic finding demonstrated acute gangrenous appendicitis complicated by perforation and sulfur granules compatible with actinomycosis. Subsequently, he was diagnosed with abdominal actinomycosis and received long-term antibiotic therapy. Abdominal actinomycosis is uncommon in children and difficult to diagnose because of its nonspecific symptoms and of difficulties in growing Actinomyces in the clinical setting. It is necessary to include abdominal actinomycosis as a differential diagnosis of children presenting with abdominal pain.
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Notes
Author Contributions
Conceptualization: Choi SK, Lee J.
Data curation: Choi SK.
Formal analysis: Choi SK.
Investigation: Choi SK, Bang YG, Oh H, Lee J.
Methodology: Choi SK, Bang YG, Oh H.
Project administration: Choi SK, Bang YG.
Resources: Choi SK, Bang YG, Oh H.
Software: Choi SK, Bang YG.
Supervision: Lee J.
Validation: Lee J, Oh H.
Visualization: Choi SK, Lee J.
Writing - original draft: Choi SK.
Writing - review & editing: Lee J.
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