ABSTRACT
Actinomycosis is a rare infection caused by Actinomyces spp. Of all actinomycosis infections, only 5% of Hepatic Actinomycosis (HA) infection has been reported. This disease is often misdiagnosed as a malignancy. This case report presents a 45-year-old woman with diabetes, initially suspected of intrahepatic cholangiocarcinoma, but after careful tissue staining, we found the results supported HA infection.
Subject(s)
Actinomyces , Actinomycosis , Humans , Actinomycosis/diagnosis , Actinomycosis/microbiology , Actinomycosis/pathology , Actinomycosis/drug therapy , Female , Middle Aged , Actinomyces/isolation & purification , Liver/pathology , Liver/microbiology , Liver Diseases/microbiology , Liver Diseases/diagnosis , Liver Diseases/pathology , Histocytochemistry , Tomography, X-Ray ComputedABSTRACT
BACKGROUND: Basidiobolomycosis is a rare fungal infection in Indonesia, so alternative investigations are needed to make a diagnosis. CASE PRESENTATION: A 24-year-old male patient, Javanese, presented with Basidiobolomycosis. The patient had a lump on the right arm and face 2 years ago, and the tumor progressively grew up and extended to the right upper arm, neck, and face since 1 month ago. This paper discussed the challenge of Ziehl-Neelsen (ZN) stain as a diagnostic tool for Basidiobolomycosis that is a rare case in the world, especially in Indonesia. DISCUSSION: Acid-fast stain has never been used to diagnose fungal cases in general, but it could describe the hyphae and Splendore-Hoeppli very clearly compared to the standard hematoxylin and eosin (HE) stains. CONCLUSION: ZN can be used as an alternative diagnosis of Basidiobolomycosis in a low-resource setting.
