Liver abscess of Actinomyces israelii in a hemodialysis patient: case report and review of the literature.
We had encountered a 74-year-old woman on hemodialysis therapy suffering from liver abscess of Actinomyces israelii. Percutaneous drainage of the abscess before starting antimicrobial therapy followed by correct microbiological identification and susceptibility test led us to determine long treatment with ampicillin and to a successful outcome. Periodontitis was thought to be a possible entry of actinomyces. Hepatic actinomycosis should be recognized as one of the important infectious diseases among patients of end-stage renal disease.
Uehara
Yuki
Y
Department of Laboratory Medicine, Nihon University School of Medicine, Tokyo. yuuehara@juntendo.ac.jp
Takahashi
Toshimi
T
Yagoshi
Michiko
M
Shimoguchi
Kazuo
K
Yanai
Mitsuru
M
Kumasaka
Kazunari
K
Kikuchi
Ken
K
D000190:Actinomyces; D000196:Actinomycosis / Q000175:diagnosis* / Q000382:microbiology; D000368:Aged; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000382:microbiology / Q000628:therapy; D008100:Liver Abscess / Q000175:diagnosis* / Q000382:microbiology; D006435:Renal Dialysis / Q000009:adverse effects*