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Actinomycosis of the gallbladder | JoVE Visualize

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Actinomycosis of the gallbladder

C J van Steensel¹, T S Kwan

¹Department of Surgery, St. Franciscus Hospital, Rotterdam, The Netherlands.

The Netherlands Journal of Surgery|February 1, 1988

View abstract on PubMed

Summary

Actinomycosis, a rare gallbladder infection caused by Actinomyces israeli, can mimic chronic cholecystitis. Surgical drainage and extended antibiotic therapy are recommended for this challenging diagnosis.

Area of Science:

Medical Microbiology
Surgical Pathology

Background:

Actinomycosis is a bacterial infection typically affecting the cervicofacial region, though it can occur in various body sites.
Gallbladder actinomycosis is an exceedingly rare manifestation, often presenting insidiously and mimicking more common gallbladder pathologies.

Observation:

A case of a 54-year-old female with gallbladder actinomycosis is presented, highlighting its unusual presentation.
The patient's condition initially resembled chronic cholecystitis, underscoring the diagnostic challenge.

Findings:

Histopathological examination confirmed Actinomyces israeli as the causative agent of the gallbladder infection.
Literature review reveals limited documented cases of gallbladder actinomycosis, emphasizing its rarity.

Implications:

Prompt surgical intervention, including drainage, is crucial for managing gallbladder actinomycosis.
Prolonged postoperative antibiotic treatment is essential for eradicating the infection and preventing recurrence.

Inorganic Geochemistry

Actinomycosis Of The Gallbladder