Summary
We are reporting on a 36-year-old man with septicemia and a liver abscess due toActinomyces sp. The infection was most probably acquired while eviscerating a deer he had shot. The possibility of an infection involvingActinomyces bovis is discussed. The liver abscess was diagnosed on the basis of non-invasive procedures. Therapy consisted of high-dose penicillin without surgical drainage of the abscess. The infection did not recur during the three-and-a-half year follow-up period. No previous reports of successful antibiotic therapy for actinomycotic liver abscess without surgical procedures are known.
Zusammenfassung
Wir berichten über eine Septikämie mit Leberabszeß durchActinomyces sp. bei einem 36jährigen Mann. Die Infektion wurde höchstwahrscheinlich beim Ausweiden eines vom Patienten erlegten Stücks Wild erworben. Die Möglichkeit einer Infektion durchActinomyces bovis wird diskutiert. Der Leberabszeß wurde mit nicht-invasiven Methoden diagnostiziert. Die Therapie bestand aus hochdosiertem Penicillin, eine chirurgische Abszeßdrainage wurde nicht durchgeführt. Ein Rezidiv trat während einer dreieinhalbjährigen Nachbeobachtungszeit nicht auf. Bisher ist kein Fall beschrieben, in dem ein Leberabszeß durchActinomyces ohne chirurgischen Eingriff erfolgreich behandelt wurde.
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van Marion, W.F., Thompson, J., van Furth, R. et al. Successful single antibiotic therapy in actinomyces septicemia and liver abscess. Infection 10, 287–289 (1982). https://doi.org/10.1007/BF01640876
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DOI: https://doi.org/10.1007/BF01640876