Patient with protracted abdominal pain

Abstract

Actinomycosis is very often misdiagnosed as typically, the associated laboratory and radiological findings are nonspecific. Therefore, clinicians should always have a high index of suspicion in cases in which there is a chronic, indolent development of a mass lesion with sinus tracts, that progresses through the tissue planes, and which relapses following short courses of antibiotics. Early diagnosis may prevent invasive investigations and radical surgical procedures as the patient can then simply be treated with oral penicillin.