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Inflammatory pseudotumour associated with chronic persistent Eikenella corrodens infection: a case report and brief review.
- Source :
-
Journal of clinical pathology [J Clin Pathol] 2003 Nov; Vol. 56 (11), pp. 868-70. - Publication Year :
- 2003
-
Abstract
- Inflammatory pseudotumour is an uncommon mass forming lesion, representing the histological expression of an infective or reactive/reparative process (pseudotumour) in most cases, and a bona fide neoplasm (for example, inflammatory myofibroblastic tumour) in a minority of cases. This report describes the case of an inflammatory pseudotumour with a pathology that unveiled proliferative CD68 positive and actin negative spindle shaped cells, with a mild mixed inflammatory infiltrate, and a culture that yielded an uncommon fastidious bacillus, Eikenella corrodens. The clinical course was indolent but protracted, with insidious progression to multifocal non-contiguous lesions, involving the lungs, liver, spleen, left kidney, and deep neck tissue, all of which responded to medical treatment with appropriate antibiotics. It is of paramount importance that clinicians search for an infective cause of an inflammatory pseudotumour, to ensure appropriate treatment.
- Subjects :
- Chronic Disease
Diagnosis, Differential
Female
Granuloma, Plasma Cell diagnosis
Humans
Liver Diseases diagnosis
Liver Neoplasms diagnosis
Middle Aged
Tomography, X-Ray Computed
Eikenella corrodens
Gram-Negative Bacterial Infections diagnosis
Granuloma, Plasma Cell microbiology
Liver Diseases microbiology
Subjects
Details
- Language :
- English
- ISSN :
- 0021-9746
- Volume :
- 56
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- Journal of clinical pathology
- Publication Type :
- Academic Journal
- Accession number :
- 14600136
- Full Text :
- https://doi.org/10.1136/jcp.56.11.868