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[Ureteral actinomycosis. Case report].

Ignacio Rubio Tortosa1, Manuel Sánchez Sanchis, Belén Coronel Sánchez

  • 1Servicio de Urología, Hospital Universitario Doctor Peset, Valencia, España. nachorutor@hotmail.com

Archivos Espanoles De Urologia
|July 2, 2005
PubMed
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A rare case of actinomycosis in the iliac ureter caused obstructive uropathy and kidney damage. This bacterial infection, usually affecting the head and neck, can exceptionally impact the urinary tract.

Area of Science:

  • Urology
  • Infectious Diseases
  • Pathology

Background:

  • Actinomycosis is a chronic bacterial infection, typically involving the cervicofacial region.
  • Urinary tract involvement is exceptionally rare, with Actinomyces israelii being a common pathogen.

Observation:

  • A 66-year-old male presented with hematuria and was diagnosed with a pseudotumoral lesion of the iliac ureter.
  • Imaging revealed right kidney pyelocaliectasis and non-function, with urine cytology suggesting transitional cell carcinoma.

Findings:

  • Pathology confirmed chronic pyelonephritis and an inflammatory ureteral lesion obliterating the lumen, caused by actinomycosis.
  • The patient underwent radical nephroureterectomy with bladder cuff excision, resulting in a good outcome.

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Implications:

  • This case highlights the unusual presentation of actinomycosis in the urinary tract.
  • It underscores the importance of considering rare infections in the differential diagnosis of obstructive uropathy and renal lesions.