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Renal actinomycosis with muscular invasion post-nephrostomy tube placement
Haley M Fulton1, Rhett M Shirley1
1Prisma Health Upstate, 701 Grove Road Greenville, SC 29605, USA.
Abstract:
Perinephric abscesses are a rare complication of nephrostomy tube placement. There are several aerobic bacteria that are common culprits of abscess formation. Here we describe a novel report of a perinephric abscess due to Actinomyces odontolyticus. We describe the presentation of illness, imaging and clinical findings, and the prolonged treatment course needed for this medically complex patient.
Insights
A rare perinephric abscess caused by Actinomyces odontolyticus following nephrostomy tube placement is presented. This case highlights the need for prolonged treatment in complex patients.
Area of Science:
- Medical microbiology
- Infectious diseases
- Urology
Background:
- Perinephric abscesses are uncommon complications following nephrostomy tube placement.
- Aerobic bacteria are typically implicated in the formation of these abscesses.
Observation:
- This report details a unique case of a perinephric abscess.
- The causative agent identified was Actinomyces odontolyticus, a less common pathogen in this context.
Findings:
- The study describes the clinical presentation, imaging characteristics, and diagnostic findings associated with this specific case.
- A prolonged and complex treatment course was required for the patient's recovery.
Implications:
- This case expands the understanding of potential pathogens involved in perinephric abscesses.
- It underscores the importance of considering unusual bacteria and the necessity for tailored, extended treatment strategies in complex urological infections.
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