135

Published on 04/05/2015 by admin

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Last modified 04/05/2015

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CASE 135

image

History: A 45-year-old woman presents with fever, weight loss, lower abdominal pain, and an area of redness and swelling at the left iliac fossa.

1. What should be included in the differential diagnosis of the imaging finding shown in Figure A? (Choose all that apply.)

A. Actinomycosis

B. Colon carcinoma

C. Crohn’s disease

D. Diverticular abscess

E. Pseudomembranous colitis

2. Which of the following statements regarding actinomycosis is true?

A. Penicillin is the treatment of choice.

B. The most common site of infection is in the chest.

C. The diagnosis is usually made by aspirate and culture.

D. Lymphatic and hematogenous spread readily occurs.

3. What is the most common site of actinomycosis of the gastrointestinal tract?

A. Ileocecal region

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