Hepatic actinomycosis: a very rare form of actinomycosis

Albayrak, Aynur; Özkurt, Zülal; Özden, Kemalettin

doi:10.1590/0037-8682-0289-2020

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…Hepatic actinomycosis (HA) is a rare condition that usually develops secondary to abdominal and pelvic infection [2]. It constitutes 5% of all actinomycosis cases and 15% of abdominal actinomycosis [3]. If a primary lesion is not found, it is considered primary HA.…”

Section: Introductionmentioning

confidence: 99%

The investigating of clinical and radiological findings of hepatic actinomycosis

Koç¹

2022

Med-Science

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Actinomycosis is a rare chronic suppurative granulomatous infection of the oropharynx, gastrointestinal, and urogenital tract. Infection most commonly manifests as a cervicofacial disease but less frequently in the thoracic and abdominopelvic region. Hepatic actinomycosis (HA) is rare and usually secondary to abdominal actinomycosis. It can mimic hepatic malignant tumors. There is not enough information in the literature about HA. In this study, radiological and clinical findings of HA cases were investigated. Between January 2013 and February 2021, a total of 12 patients diagnosed with HA were retrospectively analyzed. Significant clinical and laboratory findings and radiological findings related to current pathology were noted. The mean age of the patients ranged from 23 to 75 years (mean age, 52.2 years). There were 7 male and 5 female patients. 85% of these patients had fever, 67% anemia, and 53% weight loss. Peripheral blood leukocytes were increased in all patients. 8 of the patients (66%) had a secondary infection of HA in the lungs, and pelvis organs. Radiologically, they were mostly low-intensity changes (66%), making them easily misdiagnosed as metastatic cancer and primary liver cancer. 17% seen acute bacterial abscess-like changes. A few cases exhibited cystic mass-like changes. In 64% of the patients, a single lesion was found. The right lobe of the liver was the most common infection area. A definitive diagnosis was made by histopathological examination. The diagnosis of primary HA is difficult to diagnose because of the nonspecific clinical and radiological findings. Differential diagnoses should be made with diseases that include both benign and malignant conditions.

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Section: Introductionmentioning

confidence: 99%

The investigating of clinical and radiological findings of hepatic actinomycosis

Koç¹

2022

Med-Science

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A case report of hepatic actinomycosis: A rare form of presentation

Piñar¹,

Verónica²,

Borges³

2022

Int J Clin Anesth Res

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Hepatic Actinomycosis (HA) is a very rare abdominal actinomycosis that can be confused with hepatic involvement due to a tumor. Liver involvement can occur from an abdominal focus or by blood dissemination from another focus. This disease is much more common in men between 50 - 70 years and in a situation of immunosuppression. Symptoms are nonspecific and diagnosis includes histopathology, cultures, and imaging test. Treatment includes prolonged antibiotic therapy with antibiotics such as penicillin and drainage of abscesses. We present a case of a 54-year-old man patient with a record of three years of chronic pancreatitis of probably alcoholic origin, who developed hepatic actinomycosis, requiring drainage of liver abscesses and directed antibiotic treatment.

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Hepatic actinomycosis: a very rare form of actinomycosis

Cited by 2 publications

References 2 publications

The investigating of clinical and radiological findings of hepatic actinomycosis

The investigating of clinical and radiological findings of hepatic actinomycosis

A case report of hepatic actinomycosis: A rare form of presentation

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