Refractory primary hepatic actinomycosis with direct infiltration to the diaphragm and thorax: The usefulness of contrast-enhanced ultrasonography

Shinji Oe, Michihiko Shibata, Masaaki Hiura, Hiroshi Mitsuoka, Toru Matsuhashi, Ryoichi Narita, Shintaro Abe, Akinari Tabaru, Kazuhiro Hayashida, Hatsumi Taniguchi, Masaru Harada

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Abstract

An 80-year-old man was admitted to our hospital with a diagnosis of primary hepatic actinomycosis determined based on a percutaneous aspiration biopsy. The abscesses and state of liquefaction were easily and effectively visualized on contrast-enhanced ultrasonography. Ampicillin/sulbactam was administered; however, lesions of hepatic actinomycosis suddenly infiltrated the diaphragm and right thorax six months later. A drainage tube was inserted into the right thoracic space, and the pleural effusion gradually decreased. The patient received continuous antibiotic therapy for nearly two years and remained free of hepatic actinomycosis on follow-up more than one year later.

Original languageEnglish
Pages (from-to)2073-2078
Number of pages6
JournalInternal Medicine
Volume53
Issue number18
DOIs
Publication statusPublished - Sep 1 2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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    Oe, S., Shibata, M., Hiura, M., Mitsuoka, H., Matsuhashi, T., Narita, R., Abe, S., Tabaru, A., Hayashida, K., Taniguchi, H., & Harada, M. (2014). Refractory primary hepatic actinomycosis with direct infiltration to the diaphragm and thorax: The usefulness of contrast-enhanced ultrasonography. Internal Medicine, 53(18), 2073-2078. https://doi.org/10.2169/internalmedicine.53.2261