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[Renal actinomycosis: a case report].

I Chelly1, K Bellil, M Enneifer

  • 1Service d'anatomopathologie, Hôpital la Rabta de Tunis, Tunisie. ineschelly@yahoo.fr

Medecine Tropicale : Revue Du Corps De Sante Colonial
|August 24, 2006
PubMed
Summary

A rare case of abdominal actinomycosis in a 26-year-old patient was successfully treated with antibiotics. Early diagnosis is crucial to avoid unnecessary surgery for this bacterial infection.

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Area of Science:

  • Microbiology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Actinomyces israelii is a gram-positive anaerobic bacterium.
  • It typically causes cervicofacial or thoracic infections.
  • Retroperitoneal and renal involvement are rare but significant.

Observation:

  • A 26-year-old patient presented with spontaneous abdominal pain and a palpable mass.
  • Radiological imaging revealed grain-like structures suggestive of actinomycosis.
  • The patient experienced a favorable response to antimicrobial therapy.

Findings:

  • The case highlights a rare presentation of abdominal actinomycosis.
  • Prompt diagnosis and effective antimicrobial treatment were key to patient recovery.
  • Renal actinomycosis can mimic other pathologies, necessitating careful evaluation.

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Implications:

  • Accurate pre-operative diagnosis of renal actinomycosis is vital to prevent nephrectomy.
  • Ultrasound-guided needle biopsy aids in definitive diagnosis.
  • Antimicrobial therapy is an effective treatment, avoiding surgical intervention.