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A case of primary hepatic actinomycosis
1Department of Internal Medicine, Catholic University Medical College, Seoul, Korea.
Journal of Korean Medical Science
|October 1, 1993
Summary
Actinomycosis, a rare bacterial infection, can cause liver abscesses. This case highlights a rare instance of liver actinomycosis in Korea, diagnosed via ultrasound-guided biopsy showing characteristic sulfur granules.
Area of Science:
- Infectious Diseases
- Hepatology
- Microbiology
Background:
- Actinomycosis is a chronic bacterial infection characterized by sulfur granules.
- It typically presents in cervicofacial, thoracic, or abdominal forms.
- The liver is an uncommon primary site for abdominal actinomycosis, occurring in approximately 15% of cases.
Observation:
- A case of liver abscess was observed in a 24-year-old male.
- The abscess was diagnosed using ultrasound-guided aspiration biopsy.
- Microscopic examination revealed neutrophil infiltration and characteristic sulfur granules.
Findings:
- The findings were consistent with liver actinomycosis.
- This represents a rare occurrence of hepatic actinomycosis.
- Only three cases of liver actinomycosis have been previously reported in Korea.
Implications:
- This case underscores the importance of considering actinomycosis in the differential diagnosis of liver abscesses, especially in endemic regions.
- Accurate diagnosis through biopsy and microscopy is crucial for appropriate treatment.
- Further surveillance and reporting are needed to understand the prevalence of liver actinomycosis in Korea.