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- Title
Post varicella hepatic actinomycosis in a 5-year-old girl mimicking acute abdomen.
- Authors
Guven, Ahmet; Kesik, Vural; Deveci, M. Salih; Ugurel, M. Sahin; Ozturk, Haluk; Koseoglu, Vedat
- Abstract
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.
- Subjects
CHICKENPOX; ACTINOMYCOSIS; JUVENILE diseases; ACUTE abdomen in children; NEEDLE biopsy
- Publication
European Journal of Pediatrics, 2008, Vol 167, Issue 10, p1199
- ISSN
0340-6199
- Publication type
journal article
- DOI
10.1007/s00431-007-0639-0