Hepatic actinomycosis:Report of one case and analysis of 32 previously reported cases
Hepatic actinomycosis:Report of one case and analysis of 32 previously reported cases作者机构：Department of Infectious DiseaseSichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2014年第20卷第43期
页 面：16372-16376页
核心收录：
学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100401[医学-流行病与卫生统计学] 10[医学]
主 题：Liver Actinomycosis Diagnosis Therapeutics
摘 要：Hepatic actinomycosis is rare,with few published *** are no characteristic clinical manifestations,and computed tomography(CT)shows mainly low-density images,making clinical diagnosis difficult,and leading to frequent misdiagnosis as primary liver cancer,metastatic liver cancer or liver *** normally requires examination of both the aetiology and *** article reports one male patient aged 55 who was hospitalized because of repeated upper abdominal pain for more than 2 *** exhibited no chills,fever or yellow staining of the skin and sclera,and examination revealed no positive *** routine blood results were:haemoglobin 110 g/L,normal numbers of leukocytes and neutral leukocytes,serum albumin 32g/L,negative serum hepatitis B markers and hepatitis C antibodies,normal tumour markers(alpha-fetoproteinand carcinoembryonic antigen).An abdominal CT scan revealed an 11.2 cm×5.8 cm×7.4 cm mass with an unclear edge in the left liver *** patient was diagnosed as having primary liver cancer,and left lobe resection was *** postoperative pathological examination found multifocal actinomycetes in the hepatic parenchyma,which was accompanied by chronic suppurative inflammation.A focal abscess had formed,and large doses of sodium penicillin were administered postoperatively as anti-infective *** article also reviews 32 cases reported in the English literature,with the aim of determining the clinical features and treatment characteristics of this disease,and providing a reference for its diagnosis and treatment.
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