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Published on: July 18, 2017
Renal Actinomycosis in Humans-A Narrative Review
Ilias Giannakodimos1, Afroditi Ziogou2, Alexios Giannakodimos2
1Third Department of Urology, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, 124 62 Athens, Greece.
Actinomycosis of the kidney is a rare condition that presents with non-specific symptoms, making diagnosis difficult. This review highlights diagnostic and treatment strategies for renal actinomycosis.
Area of Science:
- Urology
- Infectious Diseases
- Microbiology
Background:
- Renal actinomycosis is an exceptionally rare infection.
- It often presents with non-specific clinical and imaging findings, complicating diagnosis.
Purpose of the Study:
- To systematically review the literature on primary renal actinomycosis.
- To highlight diagnostic approaches and treatment strategies for this rare entity.
Main Methods:
- A narrative review of existing literature on renal actinomycosis.
- Systematic search for case reports and studies detailing diagnosis and management.
Main Results:
- Fever is a common symptom (56.25%).
- Risk factors include urogenital surgery, urolithiasis, and urogenital cancer.
- Imaging modalities include ultrasonography and CT scans.
- Treatment often involves a combination of antibiotics and surgery.
Conclusions:
- Accurate diagnosis requires a high index of suspicion and confirmation via histology or cultures.
- This review consolidates current knowledge on managing renal actinomycosis.
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