A case of primary hepatic actinomycosis: an enigmatic inflammatory lesion of the liver.
- Author:
Yeon Jung HA
1
;
Ji Hyun AN
;
Ju Hyun SHIM
;
Eun Sil YU
;
Jong Jae KIM
;
Tae Yong HA
;
Han Chu LEE
Author Information
- Publication Type:Case Reports
- Keywords: Actinomycosis; Multiple liver abscess; Differential diagnosis
- MeSH: Actinomycosis/*diagnosis/drug therapy/microbiology; Anti-Bacterial Agents/therapeutic use; Biopsy, Needle; Humans; Liver Abscess/complications; Liver Diseases/*diagnosis/microbiology/pathology; Male; Middle Aged; Tomography, X-Ray Computed
- From:Clinical and Molecular Hepatology 2015;21(1):80-84
- CountryRepublic of Korea
- Language:English
- 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.
