Abdominal actinomycosis mimicking ruptured appendicitis/appendiceal tumor in a 4-year-old female: A case report with resolution using minimal antibiotics

Abdominal actinomycosis mimicking ruptured appendicitis/appendiceal tumor in a 4-year-old female: A case report with resolution using minimal antibiotics

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Actinomycosis is a rare infection with Actinomyces israelii mostly seen in the craniofacial region in post pubertal individuals.We present the youngest case of abdominal actinomycosis in a 4-year-old female.Her initial presentation led to a diagnosis consistent with ruptured appendicitis with abscess on computed tomography (CT) imaging.Surgical exploration revealed a coal tar soap woolworths firm mass involving the cecum, appendix, sigmoid colon and bladder spl 2control dome suggestive of a soft tissue tumor on frozen section.Final histologic analysis indicated abdominal actinomycosis in the cecum and sigmoid colon with no evidence of a neoplastic process.

With source control, this patient did well with a very short course of antibiotics.