Post varicella hepatic actinomycosis in a 5-year-old girl mimicking acute abdomen.
Actinomycosis is an indolent, slowly progressive infection caused by gram-positive, anaerobic or microaerophilic bacteria. Hepatic involvement is rare and generally secondary to abdominal or thoracic actinomycosis. Hepatic actinomycosis in children may mimic a wide variety of diseases and thus make the diagnosis much more challenging. Here, we report a 5-year-old girl with apparently primary hepatic actinomycosis mimicking acute abdomen 2 weeks after varicella. The diagnosis was made by ultrasonic guided fine needle aspiration biopsy of a hypoechoic lesion of 3.5 cm diameter in the liver showing sulfur granules surrounded by neutrophils. Hepatic actinomycosis should be taken into account when evaluating acute abdomen symptoms in children.
Guven
Ahmet
A
Department of Pediatric Surgery, Gulhane Military Medical Academy, Etlik/Ankara, 06017, Turkey. drahmetguven@yahoo.com
Kesik
Vural
V
Deveci
M Salih
MS
Ugurel
M Sahin
MS
Ozturk
Haluk
H
Koseoglu
Vedat
V
D000006:Abdomen, Acute / Q000175:diagnosis*; D000196:Actinomycosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001707:Biopsy, Needle; D002644:Chickenpox / Q000150:complications*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014463:Ultrasonography