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World J Gastroenterol. Nov 21, 2014; 20(43): 16372-16376
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16372
Published online Nov 21, 2014. doi: 10.3748/wjg.v20.i43.16372
Hepatic actinomycosis: Report of one case and analysis of 32 previously reported cases
Xing-Xiang Yang, Jian-Mei Lin, Kai-Ju Xu, Shu-Qiang Wang, Ting-Ting Luo, Xiao-Xia Geng, Ren-Gang Huang, Nan Jiang, Department of Infectious Disease, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Chengdu 610072, Sichuan Province, China
Author contributions: Yang XX and Lin JM performed the disease diagnosis and treatment, literature review and analysis and paper writing; Xu KJ performed the collation and collection of imaging and pathological data; Wang SQ performed the follow-up of the patient; Luo TT collected the clinical data; Geng XX performed the document retrieval; Huang RG and Jiang N performed the diagnosis and treatment of the disease.
Correspondence to: Xing-Xiang Yang, MD, Chief Physician, Department of Infectious Disease, Sichuan Academy of Medical Sciences and Sichuan Provincial People’s Hospital, Chengdu 610072, Sichuan Province, China. yangxingxiang022@163.com
Telephone: +86-28-87393948 Fax: +86-28-87393948
Received: March 8, 2014
Revised: July 7, 2014
Accepted: August 13, 2014
Published online: November 21, 2014
Revised: July 7, 2014
Accepted: August 13, 2014
Published online: November 21, 2014
Core Tip
Core tip: Actinomycetes are Gram-positive anaerobic bacteria. Hepatic actinomycosis is very rare, with no specific clinical manifestations or imaging features. The clinical diagnosis of hepatic actinomycosis is difficult, and the rate of misdiagnosis is high. It is often misdiagnosed as malignant liver tumour. This paper reports one case of recently diagnosed and treated hepatic actinomycosis, and reviews 32 previously confirmed hepatic actinomycosis cases. The clinical characteristics and diagnosis of hepatic actinomycosis are analysed, providing a reference for the diagnosis and treatment of this disease.