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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Autores principales: Brijesh Shrestha, Manisha Regmi, Prabesh Adhikari
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Lenguaje:EN
Publicado: Nepal Medical Association 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic actinomycosis; case report; cholelithiasis; gallbladder; Nepal.
Medicine (General)
R5-920
spellingShingle 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.
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
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