Department of Gastroenterology, Acibadem Hospital, Kozyatagi, 34000, Istanbul, Turkey,
Hepatol Int. 2008 Mar;2(1):133-5. doi: 10.1007/s12072-007-9032-3. Epub 2007 Nov 29.
Actinomycotic hepatic abscess was diagnosed in a 46-year-old male driver from Ukraine presenting with the symptoms of malaise, loss of appetite, upper right quadrant pain, weight loss, and night sweats which had been present for last 2 months. Computed tomography (CT) of the abdomen revealed a hypodense mass in the left liver lobe which was suspected as hepatocellular carcinoma. Histopathological examination of the CT guided biopsy specimen yielded a diagnosis of actinomycotic abscess of the liver. Treatment with intravenous penicillin for 6 weeks followed by a course of oral penicillin for 14 weeks resulted in complete cure as evidenced by clinical improvement and radiological disappearance of the lesion.
一位来自乌克兰的 46 岁男性司机，出现了不适、食欲不振、右上腹痛、体重减轻和夜间出汗等症状，已经持续了 2 个月。腹部计算机断层扫描（CT）显示左肝叶有一个低密病灶，疑似肝细胞癌。CT 引导下活检标本的组织病理学检查结果提示为肝放线菌脓肿。给予静脉注射青霉素 6 周，随后口服青霉素 14 周的治疗后，患者完全治愈，临床症状改善，病灶在影像学上消失。
