Actinomycosis Causing Recurrent Perianal Fistulae. Issue 1 (2017)

• Record Type: Journal Article
• Authors: Cardoso, Mariana Ferreira; Carneiro, Carla; Lourenço, Luís Carvalho; Rodrigues, Catarina Graça; Alberto, Sara Folgado; João, Ana Alagoa; Rocha, Ricardo; Geraldes, Vasco; Costa, Ana; Reis, Jorge; Nunes, Vítor
• Is Part Of: ACG Case Reports Journal. Volume 4:Issue 1(2017)
• Publication Date: 2017
• DOI: 10.14309/crj.2017.82
• Languages: English
• ISSNs: 2326-3253

Abstract

ABSTRACT : N/A: Actinomycosis is a rare but easily curable infection that should be considered in the differential diagnosis of perianal fistulizing disease. We present the case of a 26‐year‐old woman with complex perianal fistulae, including trans‐sphincteric and suprasphincteric fistulous tracts and a rectovaginal fistula, requiring multiple abscess drainages, seton placement, and antibiotic courses, with little improvement. After extensive investigation, Actinomyces spp. was identified in anal cytology. The patient underwent a 6‐week course of intravenous penicillin followed by oral amoxicillin, with remarkable improvement. This case illustrates the importance of pursuing less common diagnoses in refractory complex perianal disease, such as actinomycosis.