A case of primary hepatic actinomycosis coinfected with alpha-streptococcus.
- Author:
Jun Uh KIM
1
;
Hyo Jin PARK
;
Young Goo SONG
;
Sang Won JI
;
Sang In LEE
;
Chan Il PARK
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. HJPARK21@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Primary hepatic actinomycosis;
Sulfur granule
- MeSH:
Abdominal Pain;
Actinomyces;
Actinomycosis*;
Biopsy;
Female;
Fever;
Gram-Positive Bacteria;
Humans;
Korea;
Middle Aged;
Mouth;
Needles;
Sulfur
- From:Korean Journal of Medicine
2002;63(5):596-599
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Actinomycosis is a chronic suppurative and granulomatous disease caused by gram-positive bacteria, the Actinomyces, which normally resides in the mouth cavity and large bowel. Actinomyces and other bacterial species are concomitantly, on occasion, found, having been designated "companion microbes". Designing a therapeutic regimen that includes coverage for "companion microbes" during the initial treatment course is reasonable. Primary hepatic actinomycosis, which was not found in possible source or associated disease and was coinfected with alpha-strepotcoccus, has not yet been reported in Korea. We report a case of primary hepatic actinomycosis coinfected with alpha-streptococcus presenting fever, chill, right upper quadrant abdominal pain as chief complaints in a 63-year-old woman. Primary hepatic actinomycosis was confirmed by identification of the sulfur granule, which was obtained by ultrasonography-guided percutaneous needle aspiration and biopsy.
