Korean J Med.  2002 Nov;63(5):596-599.

A case of primary hepatic actinomycosis coinfected with alpha-streptococcus

• Kim JU
• Park HJ
• Song YG
• Ji SW
• Lee SI
• Park CI

Abstract

Actinomycosis is a chronic suppurative and granulomatous disease caused by gram-positive bacteria, the Actinomyces, which normally resides in the mouth cavity and large bowel. Actinomyces and other bacterial species are concomitantly, on occasion, found, having been designated "companion microbes". Designing a therapeutic regimen that includes coverage for "companion microbes" during the initial treatment course is reasonable. Primary hepatic actinomycosis, which was not found in possible source or associated disease and was coinfected with alpha-strepotcoccus, has not yet been reported in Korea. We report a case of primary hepatic actinomycosis coinfected with alpha-streptococcus presenting fever, chill, right upper quadrant abdominal pain as chief complaints in a 63-year-old woman. Primary hepatic actinomycosis was confirmed by identification of the sulfur granule, which was obtained by ultrasonography-guided percutaneous needle aspiration and biopsy.

Keyword

Primary hepatic actinomycosis; Sulfur granule

MeSH Terms

Abdominal Pain
Actinomyces
Actinomycosis*
Biopsy
Female
Fever
Gram-Positive Bacteria
Humans
Korea
Middle Aged
Mouth
Needles
Sulfur
Sulfur