Abdominal actinomycosis complicated with hydronephrosis.
Actinomycosis is a chronic supportive granulomatosis disease caused by the anaerobic Gram-positive organism Actinomyces. We report a 16-year-old boy with abdominal actinomycosis who presented with a 2-week history of intermittent abdominal pain. He complained of oliguria during the 3 days prior to admission. Abdominal computed tomography revealed a large inflammatory mass obstructing the ureter, which led to hydronephrosis of the right kidney. Exploratory laparotomy was performed and actinomycosis was confirmed by the presence of sulfur granules and filamentous bacteria. Postoperatively, the patient was successfully treated with long-term penicillin and recovered completely.
Lin
Chien-Heng
CH
Department of Pediatrics, China Medical University Hospital, Taichung, Taiwan.
Chen
An-Chyi
AC
Lin
Hsiao-Chuan
HC
Lin
Wei-Ching
WC
Wu
Shu-Fen
SF
D015746:Abdominal Pain / Q000209:etiology*; D000196:Actinomycosis / Q000150:complications* / Q000175:diagnosis; D000293:Adolescent; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology*; D008297:Male