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Actinomycosis Causing Recurrent Perianal Fistulae

dc.contributor.authorCardoso, M
dc.contributor.authorCarneiro, C
dc.contributor.authorLourenço, L
dc.contributor.authorRodrigues, C
dc.contributor.authorAlberto, S
dc.contributor.authorJoão, A
dc.contributor.authorRocha, R
dc.contributor.authorGeraldes, V
dc.contributor.authorCosta, A
dc.contributor.authorReis, J
dc.contributor.authorNunes, V
dc.date.accessioned2018-11-05T17:37:05Z
dc.date.available2018-11-05T17:37:05Z
dc.date.issued2017
dc.description.abstractActinomycosis 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationACG Case Rep J. 2017 Jun 21;4:e82.pt_PT
dc.identifier.doi10.14309/crj.2017.82pt_PT
dc.identifier.issn2326-3253
dc.identifier.urihttp://hdl.handle.net/10400.10/2040
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAmerican College of Gastroenterologypt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5482912/pdf/CG-CGCR170049.pdfpt_PT
dc.subjectAnus diseasespt_PT
dc.subjectAbscesspt_PT
dc.subjectActinomycosispt_PT
dc.titleActinomycosis Causing Recurrent Perianal Fistulaept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBethesdapt_PT
oaire.citation.titleACG Case Reports Journalpt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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