Spleenic Actinomycosis- A Rare Case Report

Actinomycosis is a rare cause of intra-abdominal infection.1 The usual sites of actinomycosis are cervicofacial, respiratory and digestive tract.3 Splenic abscess is a rare clinical entity with a reported frequency of 0.05-0.7%. 2 In this rare case report, we present a 36 years old gentleman who presented to the emergency department with complain of pain on the left side of the abdomen for last 10 days, fever and vomiting. Gentleman also had hypertension, Chronic Liver Disease, oesophageal varices, infective endocarditis and uncontrolled diabetes. On Examination, his left hypochondrium was tender. Investigations such as CECT whole abdomen revealed multiple splenic infarcts. Chronic Liver disease. MRI revealed gallstones and splenomegaly with multiple infarcts. Splenectomy with cholecystectomy was performed. Patient recovered well postoperatively and was discharged on post-operative day 10. Histopathology Spleen- Actinomycosis.