A case of primary hepatic actinomycosis: an enigmatic inflammatory lesion of the liver
Clinical and Molecular Hepatology
;
: 80-84, 2015.
Article
in English
| WPRIM
| ID: wpr-64640
ABSTRACT
Primary hepatic actinomycosis is one of the chronic abscess-forming infections of the liver. Accurate diagnosis is frequently delayed due to its indolent course and nonspecific clinical and radiological manifestations. We report a case of a 57-year-old man presenting with asymptomatic multiple hepatic masses on follow-up abdominal computed tomography performed 1 year after stomach cancer surgery. Although a percutaneous liver biopsy procedure was conducted twice in order to obtain confirmative pathology, only a nonspecific organizing abscess with plasma cell infiltration was revealed, without identification of any organism in the tissue cultures. Ultimately, actinomycosis was diagnosed following the detection of sulfur granules on open surgical biopsied tissue. This case suggests that primary hepatic actinomycosis should be considered as one of the possible causes for enigmatic inflammatory lesions of the liver.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Biopsy, Needle
/
Actinomycosis
/
Tomography, X-Ray Computed
/
Liver Abscess
/
Liver Diseases
/
Anti-Bacterial Agents
Type of study:
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Clinical and Molecular Hepatology
Year:
2015
Type:
Article
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