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. 2008 Mar;2(1):133-5.
doi: 10.1007/s12072-007-9032-3. Epub 2007 Nov 29.

Actinomycotic hepatic abscess

Arzu Tiftikci  1 , Eser N Vardareli, Kerim Kaban, Onder Peker, Sertac Akansel, Nurdan Tozun
Affiliations

Actinomycotic hepatic abscess

Arzu Tiftikci et al. Hepatol Int. 2008 Mar.

Abstract

Actinomycotic hepatic abscess was diagnosed in a 46-year-old male driver from Ukraine presenting with the symptoms of malaise, loss of appetite, upper right quadrant pain, weight loss, and night sweats which had been present for last 2 months. Computed tomography (CT) of the abdomen revealed a hypodense mass in the left liver lobe which was suspected as hepatocellular carcinoma. Histopathological examination of the CT guided biopsy specimen yielded a diagnosis of actinomycotic abscess of the liver. Treatment with intravenous penicillin for 6 weeks followed by a course of oral penicillin for 14 weeks resulted in complete cure as evidenced by clinical improvement and radiological disappearance of the lesion.

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Figures

Fig. 1
Fig. 1
A dynamic computed tomographic examination of the liver showing a solid mass of 6 × 5 cm located in the fourth segment of the left liver lobe
Fig. 2
Fig. 2
Abscess wall surrounding actınomyces colony and showing transition zone from liver tissue to abscess wall (×40 H&E)
Fig. 3
Fig. 3
High-power photomicrograph of an intact, typical actinomyces colony pictured from the same abscess cavity. The filamentous nature of the actinomyces organisms is more discernible at this power (×400 H&E)
See this image and copyright information in PMC

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