[Actinomycosis of the liver]

A case of a 61-years-old man, diabetic, drinking systematically, with primary liver actinomycosis is presented. The clinical course was that of septic cholangiohepatitis leading to liver and renal failure and death of infectious-toxic shock. The diagnosis was proved at autopsy. Multiple abscess cavities were found in the liver with the characteristic destructive-infiltrative liver changes and the pathognomonic actinomycotic drusen in the pus. The rarity of the disease is pointed out and an information about the cases of abdominal actinomycosis published in Bulgaria is presented.