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Colegio de Medicina Interna de México.

2009, Number 6

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Med Int Mex 2009; 25 (6)

Absceso hepático por Actinomyces. Comunicación de un caso y revisión de la bibliografía

Cornejo JP, Herrera GJC, Alatorre FCP, Herrera GR, Ferrari CT

Language: Spanish
References: 13
Page: 537-540
PDF size: 289.46 Kb.


ABSTRACT

Actinomycosis is a chronic suppurative, granulomatous disease, which is characterized clinically by extensive necrosis and abscess formation, and histologically by the presence of the so-called “sulphur granules”. Hepatic actinomycotic abscesses are rare and secondary to other intra-abdominal infections. Patients with hepatic Actinomyces abscess may suffer from non-specific symptoms. A 53-year-old man is reported with a six months history of right upper quadrant pain and weight loss (25 kilogrames). Abdominal computed tomography showed a multiloculated occupying lesion, mimicking liver tumour. Diagnosis confirmation was made by tomographic-guided biopsy based on typical histologic feature of “sulfur granules” with inflammatory process. This case resolved completely within a six months course of oral ampicillin treatment.


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