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Post-mortem confirmed a 9 cm haemorrhagic, necrotic mass within the right lobe of the liver and a 5×4 cm nodular, left tubo-ovarian mass. Histological examination revealed a necrotic liver abscess with a fibrous wall, within which clusters of filamentous gram positive rods, consistent with actinomycotic colonies (fig 1, below), were found. The differential diagnosis would include Nocardia species. However, organisms typical of …

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