Year 2016 / Volume 108 / Number 9
Digestive Diseases Image
Actinomyces infection as a complication of a post-radiotherapy rectal ulcer

580-581

Carmen Martos Plasencia, Pilar Olivencia Palomar, Roberto Patón Arenas, Cristina Verdejo Gil, Rosario Salmoral Luque, Melvyn Peña Gómez, Eva De la Santa Belda, Bartolomé López Viedma, José Olmedo Camacho,

Abstract
Introduction: Pelvic radiotherapy is associated with early and late local complication. Actinomyces bacterium is part of the saprophyte flora, although some infection underlying factors are known , the pathophysiology of the disease is still unexplained. Frequently it is involved in oral, gastrointestinal and respiratory infections. Case report: We present the description of a clinical case supported with images. So that we have developed a bibliographical research in Pubmed data base including the following key words: Ulcer, rectum, brachitherapy and Actinomyces. The most recent original articles published in the last teen years, related with the pathology observed in the patient of the case, were selected. Discussion: Brachitherapy over pelvic beds ( prostate, cervix and uterus) could be associated with digestive complications specially in the rectum. Those complications might oscillate from mild inflammatory changes in the mucosa to serious damages as ulcers and lack of tissue. This situation increase the risk of opportunistic infections which could endanger the clinical improve of our patients. We suggest to remember those germen in the diagnosis process in other to achieve an early diagnosis and to use a targeted treatment.
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References
1. Krol R, Smeenk RJ, van Lin EN et al. Systematic review: anal and rectal changes after radiotherapy for prostate cancer. Int J Colorectal Dis 2014;29:273-83.
2. Wolff JH, Goldberg EM, Drachenberg CB. Large solitary rectal ulcer as a complication of prostate brachytherapy. Gastrointest Endosc 2009;70:389-90; discussion 90.
3. Bowden GHW (1996). Actinomycosis in: Baron's Medical Microbiology (Baron S et al, eds.) (4th ed. edición). Univ of Texas Medical Branc.
4. Coremans G, Margaritis V, Van Poppel HP, et al. Actinomycosis, a rare and unsuspected cause of anal fistulous abscess: report of three cases and review of the literature. Dis Colon Rectum. 2005;48:575-81.
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Martos Plasencia C, Olivencia Palomar P, Patón Arenas R, Verdejo Gil C, Salmoral Luque R, Peña Gómez M, et all. Actinomyces infection as a complication of a post-radiotherapy rectal ulcer. 3972/2015


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Publication history

Received: 12/08/2015

Accepted: 07/09/2015

Published: 06/09/2016

Article revision time: 10 days

Article editing time: 391 days


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