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[Primary renal actinomycosis].

E Proca

    Revista De Chirurgie, Oncologie, Radiologie, O.R.L., Oftalmologie, Stomatologie. Chirurgie
    |May 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    This case report details a 41-year-old male with renal actinomycosis misdiagnosed as anthrax. Despite nephrectomy, a subsequent cerebral abscess led to death, highlighting diagnostic challenges in rare fungal infections.

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    Area of Science:

    • Medical Mycology
    • Infectious Diseases
    • Nephrology

    Background:

    • Renal actinomycosis is a rare bacterial infection caused by Actinomyces species.
    • It can mimic other renal pathologies, leading to diagnostic challenges.
    • Early and accurate diagnosis is crucial for effective treatment and patient outcomes.

    Observation:

    • A 41-year-old male presented with symptoms suggestive of renal anthrax.
    • Urography and renal arteriography supported the clinical diagnosis of renal anthrax.
    • Initial pus cultures were sterile, prompting further investigation for characteristic mycelia.

    Findings:

    • The patient underwent nephrectomy for presumed renal anthrax.
    • Five months post-surgery, a cerebral abscess developed, leading to the patient's demise.

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  • Cerebral pus cultures revealed Proteus vulgaris and Staphylococcus aureus, but actinomycotic etiology was not definitively excluded due to lack of specific granule examination.

    • Implications:

    • This case underscores the importance of considering actinomycosis in renal infections, especially when conventional cultures are negative.
    • Diagnostic methods should include specific tests for fungal elements when actinomycosis is suspected.
    • Delayed or incorrect diagnosis of renal actinomycosis can lead to severe complications and mortality.