ArticleMedical archives (Sarajevo, Bosnia and Herzegovina)2025
The Silent Mimic: Actinomyces and the Enigmatic Gastric Ulcer.
Article in Medical archives (Sarajevo, Bosnia and Herzegovina), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Primary gastric actinomycosis is a rare infection caused by anaerobic Actinomyces species, normally colonizing the oral and gastrointestinal flora. Often misdiagnosed as malignancy due to atypical presentation and non-specific findings, it typically affects immunocompromised individuals or those with mucosal damage from surgery or trauma. Objective: The aim of this case report is to explore the diagnostic challenges and the necessity of high clinical suspicion for rare infectious causes of gastrointestinal pathology, especially given its atypical presentation. Case Presentation: A 63-year-old woman presented with hematemesis, melena, and epigastric pain. Laboratory tests revealed severe anaemia, hypoalbuminemia, and elevated cancer antigen 19-9 (CA 19-9). Gastroscopy revealed oesophageal erosions and a gastric ulcer with a wide, black-coloured base on a polypoid lesion, along with small erosions. Histopathological findings showed filamentous and rod-like bacteria, consistent with Actinomyces, in gastroscopic biopsies. The patient was then treated with high-dose intravenous penicillin G.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.