Archive for the ‘Hepatic actinomycosis’ Category

Hepatic actinomycosis with infiltration of the diaphragm and right lung: DISCUSSION (2)

The most common radiographical finding is a single hypodense mass/abscess (68.4%). Extension to surrounding tissues has been evident in 19 cases (33.3%). In Japan, Sugano et al reviewed 11 cases of Actinomyces infection involving the liver. In most patients, there were no predisposing factors. Common symptoms and laboratory findings include fever, abdominal pain, leukocytosis and […]

Hepatic actinomycosis with infiltration of the diaphragm and right lung: DISCUSSION (1)

The actinomycete are anaerobic or microaerophilic, nonspore-forming, Gram-positive, branching bacteria that colonize the mouth, colon and female genital tract. Six of the 13 Actinomyces species have been associated with human disease; of those, Actinomyces israelii is the most frequently isolated. The most common site of actinomycotic infection is the cervicofacial area, but pulmonary and hepatic […]

Hepatic actinomycosis with infiltration of the diaphragm and right lung (2)

A computed tomography (CT) scan of the chest (Figure 2) showed multiple thick-walled cavitary lesions in the right lower lobe with associated pleural thickening. A CT scan of the abdomen (Figure 3) showed a complex, septated fluid collection involving the liver with dense inhomogeneous contrast enhancement in the walls and extending into the posterior pararenal […]

Hepatic actinomycosis with infiltration of the diaphragm and right lung (1)

An 84-year-old woman with a past medical history significant for hyperlipidemia and hypertension presented with one month of anorexia, right upper quadrant pain, nausea, night sweats and a weight loss of 5.9 kg over three months. One week before presentation she developed a cough with purulent sputum production and occasional streaks of blood. She was […]

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