Hepatic actinomycosis: case report and review of the literature in Japan.

摘要: Hepatic actinomycosis is rare. We report an 86-year-old Japanese man with a 3-day history of high fever and anorexia who had actinomycotic liver abscess complicated by disseminated intravascular coagulation (DIC). A definitive diagnosis was made when anActinomyces species cultured from aspirated pus. The clinical course satisfactory. Treatment included prompt percutaneous drainage coupled long-term intravenous administration high-dose minocycline piperacillin, combined therapy for DIC. reviewed 11 cases in Japan ofActinomyces involving the liver, including case reported here. In most patients, there were no predisposing factors. Common symptoms laboratory findings fever, abdominal pain, leukocytosis, elevated C-reactive protein. 6 patients partial hepatectomy performed because hepatic tumor suspected. Five presented abscess. should be considered differential diagnoses pyogenic space-occupying lesions liver.