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Localized eosinophilic myositis of the masseter muscle associated with actinomycosis.

A case of eosinophilic myositis of the masseter associated with pseudotumor and trismus is presented. Extensive eosinophilic infiltrates of the masseter are rarely observed in the absence of parasitic infection or the hypereosinophilic syndrome. This case is reported because of the rarity of the phenomenon and its importance to the surgeon from the standpoint of differential diagnosis and treatment. The pathogenesis of the condition and its relation to other lesions of muscle associated with eosinophilic infiltration are discussed.

Actinomycosis↗

[Tubo-ovarian actinomycosis ruptured in the sigmoid colon].

Actinomyces is an anaerobic, gram-positive bacteria saprophyte of the oral cavity, lungs, genital and gastro-intestinal tracts. Tubo-ovarian infection is rare. The authors report a case of tubo-ovarian abscess, due to actinomyces ruptured in the sigmoid and diagnosed in a 30-year-old woman using an intra-uterine device for more than 5 years. After salpingo-oophorectomy and partial sigmoid resection, pathology confirmed the diagnosis.

Actinomycosis↗

Primary hepatic actinomycosis.

Actinomycotic liver abscess was diagnosed in a 35-year-old alcoholic farmer from southern India with tender hepatomegaly and fever. CT of the abdomen revealed three coalescing hypodense lesions in the liver. The causative organism could be demonstrated on direct microscopy and cultured from the pus. Treatment with i.v. penicillin for 2 months and oral ampicillin for 5 months resulted in cure as evidenced by clinical improvement and radiological disappearance of the lesions.

Actinomyces↗