Actinomycotic hepatic abscess

Tıftıkcı, Arzu; Vardareli, Eser; Kaban, Kerim; Peker, Önder; Akansel, Sertac; Tözün, Nurdan

doi:10.1007/s12072-007-9032-3

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…However, not all patients with hepatic actinomycosis have abdominal pain or fever, and some demonstrate constitutional symptoms such as night sweats and weight loss. 1,4,5 Her bilirubin level was normal, which was thought to be due to adequate biliary drainage despite partial occlusion of the biliary stent, and the location of the hepatic lesion in proximity to the common bile duct.…”

Section: Discussionmentioning

confidence: 98%

Hepatic Actinomycosis in a Patient With Retained Common Bile Duct Stent

et al. 2019

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Primary hepatic actinomycosis is rare, with less than 100 cases reported in English literature. Most of these cases are cryptogenic. We describe a 35-year-old woman who presented with a retained common bile duct stent for 6 years and found to have a hepatic mass with altered perfusion and enhancement, and minimal degree of washout on enhanced cross-sectional imaging. Fine-needle aspiration revealed presence of filamentous bacteria morphologically consistent with Actinomyces species. This report is a demonstration of a rare instance in which a retained biliary stent led to primary hepatic actinomycosis.

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Section: Discussionmentioning

confidence: 98%

Hepatic Actinomycosis in a Patient With Retained Common Bile Duct Stent

et al. 2019

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“…Generally actinomyces infections are cryptogenic in nature (80% of the cases) (8,9). There are two reports of actinomyces associated with biliary or pancreatic infection (10).…”

Section: Discussionmentioning

confidence: 99%

Kehr tube complication: recurrent hepatic abscess associated with actinomyces secondary to a foreign body in the bile duct—a case report

Losada¹,

Troncoso²,

Herrera³

et al. 2021

AME Surg J

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Complications from the installation of a Kehr tube are frequent, up to 15% in some series.Hepatic abscesses secondary to a foreign intraciliary body are very rare. Actinomycosis is a rare chronic infection, has a liver involvement of 5% secondary to another intra-abdominal infection. We present a case of female patient aged 79 years. History of choledochostomy in 2007 due to choledocholithiasis and endoscopic biliary drainage due to residual choledocholithiasis. She consulted for pain in the epigastrium and right hypochondrium, associated with an increase in inflammation markers. Initial ultrasound identified a lesion in the left hepatic lobe compatible with a hepatic abscess. Nuclear magnetic resonance (NMR) revealed dilation of the intrahepatic bile duct, greater to the left, with thickening of the bile duct at the confluence level that extends to the middle third, with hepatolithiasis and choledocholithiasis and multiple hepatic abscesses. A left lateral segmentectomy was performed along with exploration of the bile duct, identifying a foreign body compatible with an old fragment of T tube. The deferred biopsy reported intrahepatic lithiasis and chronic hepatitis compatible with secondary biliary cirrhosis, acute and chronic hepatitis with purulent leukocytic exudate and actinomycete elements. In our case the T tube fragment could have acted as a foreign body and facilitated the infection by actinomyces.

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“…In our case the cause of multiple liver abscess is probably due to extension from a small perforation and extension of pus from healed peptic ulcer, as no other aetiology was found in the patient for the presence of liver abscess. Hepatic actinomycosis should also be considered in the differential diagnosis of liver abscesses and space-occupying lesions of the liver in immunocompetent patients 8 . The strain of Enterococcus faecalis isolated was resistant to linezolid, which is relatively rare and appears either due to previous treatment with linezolid or transmission from other patients 9 .…”

Section: Discussionmentioning

confidence: 99%

Multiple Liver Abscess by Mixed Bacterial Etiology: An Unusual Case Report

Sharada¹,

Naik²,

Prashanth³

2012

jemds

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ABSTRACT:Pyogenic liver abscess is a serious disease, which is potentially fatal if left untreated. In developed countries, pyogenic abscesses are the most common but worldwide, amoebae are the most common cause. We report a 60-year-old diabetic woman with a 2 months history of pain abdomen, 1 month history of high fever and anorexia who had multiple liver abscess caused by anaerobic Actinomyces species and Enterococcus faecalis and was complicated by peritonitis. Treatment included prompt percutaneous drainage coupled with long-term intravenous administration of Amikacin, Metronidazole and Piperacillin/ Tazobactum. The patient later died due to peritonitis.

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Actinomycotic hepatic abscess

Cited by 6 publications

References 4 publications

Hepatic Actinomycosis in a Patient With Retained Common Bile Duct Stent

Hepatic Actinomycosis in a Patient With Retained Common Bile Duct Stent

Kehr tube complication: recurrent hepatic abscess associated with actinomyces secondary to a foreign body in the bile duct—a case report

Multiple Liver Abscess by Mixed Bacterial Etiology: An Unusual Case Report

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