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 wi...

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Bibliographic Details
Published in:Journal of Nepal Medical Association 2021-11, Vol.59 (243), p.1177-1179
Main Authors: Shrestha, Brijesh, Regmi, Manisha, Adhikari, Prabesh
Format: Article
Language:English
Subjects:
actinomycosis
case report
cholelithiasis
gallbladder
Nepal
Original
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Summary: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.
ISSN:0028-2715
1815-672X
DOI:10.31729/jnma.6709