Publication: Actinomycosis of Gallbladder in Cholecystectomy Specimen: A Case Report Authors
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
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.
Description
Brijesh Shrestha
National Medical College and Teaching Hospital
https://orcid.org/0000-0001-5389-7286
Manisha Regmi
Department of Pathology, National Medical College and Teaching Hospital, Birgunj, Nepal
Prabesh Adhikari
Department of Pathology, National Medical College and Teaching Hospital, Birgunj, Nepal
Keywords
actinomycosis, case report, cholelithiasis, gallbladder, Nepal.