Abdominal actinomycosis masquerading as colon cancer in a liver transplant recipient

I. Laish, O. Benjaminov, S. Morgenstern, F. Greif, Z. Ben-Ari*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Infections in transplant recipients are associated with high morbidity and mortality, making their early recognition and treatment particularly important. Abdominal actinomycosis is a rare clinical entity and difficult to diagnose because of its various and nonspecific features. We describe a 57-year-old patient who presented with abdominal actinomycosis simulating colon cancer 6 years after liver transplantation. The main symptom was abdominal pain. Abdominal computed tomography and colonoscopy revealed an intraluminal 4.5 cm mass in the right colon, raising suspicions of a colonic malignancy and leading to surgical intervention. The postoperative pathologic study showed sulfur granules in the resected specimen compatible with abdominal actinomycosis. No signs of recurrence were seen throughout the 6-month follow-up. The literature on actinomycosis infections in immune-compromised hosts is reviewed. This presentation of actinomycosis in a liver transplant recipient has not been described previously, to our knowledge.

Original languageEnglish
Pages (from-to)86-90
Number of pages5
JournalTransplant Infectious Disease
Volume14
Issue number1
DOIs
StatePublished - Feb 2012

Keywords

  • Actinomyces
  • Actinomycosis
  • Liver transplant

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