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Canadian Journal of Gastroenterology
Volume 15 (2001), Issue 9, Pages 615-617
http://dx.doi.org/10.1155/2001/897154
Brief Communication

An Unusual Case of Hepatic Abscess

Robert Tambay, Jean Côté, Anne-Marie Bourgault, and Jean-Pierre Villeneuve

Service d’hépatologie, de pathologie et de microbiologie, Hôpital Saint-Luc, Centre Hospitalier de l’Université de Montréal, Montréal, Québec, Canada

Received 3 May 2000; Accepted 6 February 2001

Copyright © 2001 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A case of recurring primary hepatic actinomycosis is reported. A 50-year-old man presented with fever, weight loss and multiple hepatic masses. A diagnosis was obtained by cytological examination of a biopsy sample taken from the largest hepatic mass, which revealed the presence of Actinomyces species. The patient was treated with penicillin for 12 months and did well. Seven years later, he presented with similar symptoms but with a single large liver mass and a pulmonary infiltrate in the right lower lobe. Liver biopsy showed an inflammatory pseudotumour, and lung biopsy showed the presence of Actinomyces species. Again, the patient was treated with penicillin. Five months later, the patient was doing well, and a follow-up computed tomography scan showed partial regression of the hepatic pseudotumour. This case indicates that hepatic actinomycosis can recur several years after an appropriate treatment and stresses the need for careful follow-up in such patients.