Korean J Gastrointest Endosc > Volume 27(6); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;27(6): 553-557.
직장항문에 원발한 방선균증 1예
오순옥·문상호·김수호·백광호·김진봉·김동준·김해성*·김홍기*·최영희†
한림대학교 의과대학 내과학교실, *외과학교실, †병리학교실
A Case of Anorectal Actinomycosis
Soon Ok Oh, M.D., Sang Ho Moon, M.D., Su Ho Kim, M.D., Gwang Ho Baik, M.D., Jin Bong Kim, M.D., Dong Joon Kim, M.D., Hae Sung Kim, M.D.*, Hong Ki Kim, M.D.* and Young Hee Choi, M.D.†
Departments of Internal Medicine, *General Surgery and †Pathology, Hallym University College of Medicine
Abstract
Actinomycosis is an indolent, slowly progressive infection caused by actinomyces species that normally colonize the mouth, colon, and vagina, characterized by sulfur granule formation. Actinomycosis can affect multiple organs, with local or systemic manifestations. The abdomen is involved in less than 20% of the cases with the ileocecal area being the site most frequently affected. The anorectal region is less frequently involved. We report a case of anorectal actinomycosis, which was diagnosed by histologic study of sigmoidoscopic biopsy. The patient was a 40-year-old man who took immunosuppressive agents after kidney transplantation. Adequate surgical excision was done, being followed by administration of massive dose of a penicillin. (Korean J Gastrointest Endosc 2003;27:553⁣557)
Key Words: Actinomycosis, Anorectum, Sigmoidoscopy, Kidney transplantation
주요어: 방선균증, 직장항문, S상결장경검사, 신장이식
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