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. 2014 Oct;8(4):1876-1878.
doi: 10.3892/ol.2014.2375. Epub 2014 Jul 23.

Abdominal actinomycosis with multiple myeloma: A case report

Vehbi Ercolak  1 , Semra Paydas  2 , Melek Ergin  3 , Berna T Ates  3 , Berna B Duman  4 , Meral Gunaldi  2 , Cigdem U Afsar  2
Affiliations

Abdominal actinomycosis with multiple myeloma: A case report

Vehbi Ercolak et al. Oncol Lett. 2014 Oct.

Abstract

Actinomycosis is a chronic suppurative infection, for which immune suppression is a predisposing factor. In unusual cases, this disease may present as an abdominal wall involvement simulating a soft tissue tumor as seen in the present case. The presented patient had no signs of trauma or surgical approach and the pathology was considered to be a primary abdominal wall actinomycosis. Preoperative diagnosis is difficult due to the nonspecific nature of clinical presentation, radiographic and laboratory findings. Surgery combined with antibiotic treatment is a curative approach for this relatively rare infection. Surgeons must be aware of this disease in order to ensure correct diagnosis and to prevent performing any unnecessary procedures. The present study describes a case of abdominal actinomycosis with multiple myeloma, together with a review of important points related to this disease.

Keywords: actinomycosis; immune-suppression; multiple myeloma.

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Figures

Figure 1
Figure 1
Bacteria colonies consistent with Actinomyces. Hematoxylin and eosin staining; original magnification, ×100.
Figure 2
Figure 2
Bacteria colonies consistent with Actinomyces. Hematoxylin and eosin staining; original magnification, ×200.
See this image and copyright information in PMC

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