1. [Primary hepatic actinomycosis].
- Author
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Castellón Pavón CJ, Foruria Franco AM, González Núñez MA, Morales Artero S, Martínez Sapiña A, and del Amo Olea E
- Subjects
- Actinomycosis diagnostic imaging, Actinomycosis drug therapy, Actinomycosis pathology, Aged, Anti-Bacterial Agents therapeutic use, Biopsy, Needle, Diagnosis, Differential, Humans, Liver diagnostic imaging, Liver microbiology, Liver pathology, Liver Abscess diagnostic imaging, Liver Abscess drug therapy, Liver Abscess pathology, Male, Penicillin G therapeutic use, Tomography, X-Ray Computed, Treatment Outcome, Actinomycosis microbiology, Liver Abscess microbiology
- Abstract
Primary hepatic actinomycosis is a rare infection that can clinically be confused with hepatic pyogenous abscesses or neoproliferative processes. We present the case of a 71-year-old man who had previously undergone total gastrectomy for gastric adenocarcinoma. After 4 years of favorable clinical course he presented a space-occupying lesion in the right hepatic lobe. Diagnostic tests were nonspecific and the diagnosis was confirmed by histological study of a biopsy of the lesion obtained through laparotomy. Prolonged antibiotic treatment produced a complete response. The etiopathogenesis and diagnostic-therapeutic options of hepatic actinomycosis are reviewed.
- Published
- 2004
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