Actinomycosis of Gallbladder in Cholecystectomy Specimen: A Case Report
Actinomyces are a part of the normal flora of the cervicofacial region, gastrointestinal tract, and urogenital tract, but can cause infections when the normal mucosal barrier is lost. Herein, we report a rare case of actinomycosis of the gallbladder in a 60-years-old-female. The patient presented w...
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Nepal Medical Association
2021
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oai:doaj.org-article:7d9cb0bc51f741cc89c8b66e6fa376012021-11-18T19:20:08ZActinomycosis of Gallbladder in Cholecystectomy Specimen: A Case Report10.31729/jnma.67090028-27151815-672Xhttps://doaj.org/article/7d9cb0bc51f741cc89c8b66e6fa376012021-11-01T00:00:00Zhttp://www.jnma.com.np/jnma/index.php/jnma/article/view/6709https://doaj.org/toc/0028-2715https://doaj.org/toc/1815-672X Actinomyces are a part of the normal flora of the cervicofacial region, gastrointestinal tract, and urogenital tract, but can cause infections when the normal mucosal barrier is lost. Herein, we report a rare case of actinomycosis of the gallbladder in a 60-years-old-female. The patient presented with right hypochondrium pain since three months; ultrasonography showed cholelithiasis with thick oedematous wall. An open cholecystectomy was carried out. Histological examination revealed an inflamed gallbladder with colonies of radiating filamentous structures having numerous sulphur granules which on gram staining showed filamentous gram-positive rods. The diagnosis of Actinomycosis of gallbladder was made. After cholecystectomy, prolonged antimicrobial therapy is recommended for patient with actinomycosis to prevent recurrence and even mortality. Brijesh ShresthaManisha RegmiPrabesh AdhikariNepal Medical Associationarticleactinomycosis; case report; cholelithiasis; gallbladder; Nepal.Medicine (General)R5-920ENJournal of Nepal Medical Association, Vol 59, Iss 243 (2021) |
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actinomycosis; case report; cholelithiasis; gallbladder; Nepal. Medicine (General) R5-920 |
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actinomycosis; case report; cholelithiasis; gallbladder; Nepal. Medicine (General) R5-920 Brijesh Shrestha Manisha Regmi Prabesh Adhikari Actinomycosis of Gallbladder in Cholecystectomy Specimen: A Case Report |
description |
Actinomyces are a part of the normal flora of the cervicofacial region, gastrointestinal tract, and urogenital tract, but can cause infections when the normal mucosal barrier is lost. Herein, we report a rare case of actinomycosis of the gallbladder in a 60-years-old-female. The patient presented with right hypochondrium pain since three months; ultrasonography showed cholelithiasis with thick oedematous wall. An open cholecystectomy was carried out. Histological examination revealed an inflamed gallbladder with colonies of radiating filamentous structures having numerous sulphur granules which on gram staining showed filamentous gram-positive rods. The diagnosis of Actinomycosis of gallbladder was made. After cholecystectomy, prolonged antimicrobial therapy is recommended for patient with actinomycosis to prevent recurrence and even mortality.
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format |
article |
author |
Brijesh Shrestha Manisha Regmi Prabesh Adhikari |
author_facet |
Brijesh Shrestha Manisha Regmi Prabesh Adhikari |
author_sort |
Brijesh Shrestha |
title |
Actinomycosis of Gallbladder in Cholecystectomy Specimen: A Case Report |
title_short |
Actinomycosis of Gallbladder in Cholecystectomy Specimen: A Case Report |
title_full |
Actinomycosis of Gallbladder in Cholecystectomy Specimen: A Case Report |
title_fullStr |
Actinomycosis of Gallbladder in Cholecystectomy Specimen: A Case Report |
title_full_unstemmed |
Actinomycosis of Gallbladder in Cholecystectomy Specimen: A Case Report |
title_sort |
actinomycosis of gallbladder in cholecystectomy specimen: a case report |
publisher |
Nepal Medical Association |
publishDate |
2021 |
url |
https://doaj.org/article/7d9cb0bc51f741cc89c8b66e6fa37601 |
work_keys_str_mv |
AT brijeshshrestha actinomycosisofgallbladderincholecystectomyspecimenacasereport AT manisharegmi actinomycosisofgallbladderincholecystectomyspecimenacasereport AT prabeshadhikari actinomycosisofgallbladderincholecystectomyspecimenacasereport |
_version_ |
1718420736331218944 |