Jonas R B, Brasitus T A, Chowdhury L
Department of Medicine, Michael Reese Hospital and Medical Center, Chicago, Illinois 60616.
Dig Dis Sci. 1987 Dec;32(12):1435-7. doi: 10.1007/BF01296673.
A 28-year-old male with hepatic actinomycosis presented with several months of anorexia, weight loss, fever, night sweats, and mild right upper quadrant abdominal tenderness. Despite normal liver function tests, hepatic involvement was demonstrated by imaging studies. A liver biopsy and ultrasound-guided aspirate were, however, unrewarding. Laparotomy was, therefore, necessary to establish a definitive diagnosis. The patients was then successfully treated with intravenous penicillin followed by oral clindamycin. This case is presented to illustrate the diagnostic difficulties that may be encountered in such patients with hepatic actinomycosis.
一名28岁患有肝放线菌病的男性患者，出现了数月的厌食、体重减轻、发热、盗汗以及右上腹轻度压痛。尽管肝功能检查结果正常，但影像学检查显示肝脏有病变。然而，肝脏活检和超声引导下穿刺均未得到有价值的结果。因此，有必要进行剖腹手术以明确诊断。该患者随后先接受静脉注射青霉素治疗，之后口服克林霉素，治疗成功。本文报告此病例以说明肝放线菌病患者可能遇到的诊断困难。
