Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
INTRODUCCIÓN:
La actinomicosis pancreática es una afección extremadamente rara, de la que se tiene pocos reportes. Se caracteriza por ser una infección crónica granulomatosa, que se identifica como una masa de apariencia maligna que puede llevar a tratamientos innecesarios.
La sospecha diagnóstica se obtiene por imagen y en el diagnóstico definitivo con histopatología a través de la visualización de colonias bacterianas. El tratamiento con antibiótico prolongado es suficiente para el manejo de esta infección.
CASO CLÍNICO: Se presenta el caso de un paciente masculino de 79 años con antecedentes de instrumentalización pancreática en múltiples oportunidades, en quien inicialmente se sospechó
tumor de páncreas y con la biopsia se identificaron colonias de Actinomyces. El paciente fue tratado exitosamente con esquema de antibiótico.
CONCLUSIÓN:
El tratamiento exitoso de actinomicosis pancreática depende de sospechar la presencia de este patógeno en pacientes con instrumentalización quirúrgica previa, para realizar el diagnóstico oportuno.
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