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Related Experiment Videos

Primary hepatic actinomycosis.

Y C Lakshmana Kumar1, Rajesh Javherani, A Malini

  • 1Department of Medicine, Sri Devaraj Urs Medical College, Tamaka, Kolar 563101, Karnataka, India. yclakshman@yahoo.com

Transactions of the Royal Society of Tropical Medicine and Hygiene
|August 17, 2005
PubMed
Summary

A rare actinomycotic liver abscess in an Indian farmer was successfully treated. Long-term antibiotics, including intravenous penicillin and oral ampicillin, led to complete cure and lesion resolution.

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Area of Science:

  • Medical Microbiology
  • Hepatology
  • Infectious Diseases

Background:

  • Actinomycosis is a rare bacterial infection often caused by Actinomyces israelii.
  • Liver abscesses, while uncommon, can present significant diagnostic and therapeutic challenges.

Observation:

  • A 35-year-old alcoholic farmer from southern India presented with fever and tender hepatomegaly.
  • Abdominal CT scan revealed three coalescing hypodense lesions within the liver.

Findings:

  • Direct microscopy and pus culture confirmed Actinomyces as the causative organism.
  • Treatment involved intravenous penicillin for 2 months followed by oral ampicillin for 5 months.

Implications:

  • This case highlights the importance of considering actinomycosis in liver abscess etiology, especially in endemic regions.

Related Experiment Videos

  • Sustained antibiotic therapy is crucial for achieving a cure in hepatic actinomycosis.