Primary liver actinomycosis in a pediatric patient: A case report and literature review  

作　　者：Zi-Jian Liang Jian-Kun Liang Yun-Pei Chen Zhen Chen Yong Wang 

机构地区：[1]Department of Pediatric Surgery,Guangzhou Women and Children’s Medical Center,Guangzhou Medical University,Guangzhou 510000,Guangdong Province,China [2]Department of Radiology,Guangzhou Women and Children’s Medical Center,Guangzhou Medical University,Guangzhou 510000,Guangdong Province,China [3]Department of Pediatric Surgery,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China

出　　处：《World Journal of Clinical Cases》2021年第20期5717-5723,共7页世界临床病例杂志

基　　金：Supported by National Natural Science Foundation of China,No.81800448.

摘　　要：BACKGROUND Primary hepatic actinomycosis is a rare infection that can be clinically confused with hepatic pyogenic abscesses or neoproliferative processes.Only a few cases of primary hepatic actinomycosis in children have been reported in the English literature.CASE SUMMARY We describe a pediatric patient with primary hepatic actinomycosis that involved the base of the right lung and anterior abdominal wall and skin.The patient was diagnosed via histological examination of spontaneously drained material.The patient was successfully treated with an exploratory laparotomy and right posterior segmentectomy of the liver,combined with antibiotic treatment.Following surgery,the patient remains in excellent condition,without evidence of recurrence at the time of drafting this report.To summarize the clinical manifestations,diagnosis,treatment,and outcomes of primary hepatic actinomycosis,18 case reports in English were reviewed.CONCLUSION We conclude that actinomycosis clinically features a chronic onset,nonspecific symptoms,and a primarily histologic diagnosis.Prolonged antibiotic treatment combined with invasive intervention provides a good prognosis.

关 键 词：ACTINOMYCOSIS CHILD ABSCESS LIVER Case report 

分 类 号：R725.7[医药卫生—儿科]