[Renal actinomycosis: a case report].
This report describes the case of a 26-year-old patient hospitalized for spontaneous abdominal pain. Palpation during clinical examination demonstrated a mass in the right abdomino-pelvic cavity. Radiological examination visualized the presence of grains suggestive of actinmycosis. The patient responded favorably to antimicrobial therapy. Actinomyces israeli is a gram-positive anaerobic bacterium that can cause tumor-like lesions usually on the face and neck and more rarely on retroperitoneal structures. Because renal involvement can require nephrectomy, diagnosis of renal actinmycosis must be made during pre-operative work-up. Ultrasound-guided needle biopsy of the lesion can achieve diagnosis and avoid nephrectomy since medical treatment using antimicrobial therapy is effective.
Chelly
I
I
Service d'anatomopathologie, Hôpital la Rabta de Tunis, Tunisie. ineschelly@yahoo.fr
Bellil
K
K
Enneifer
M
M
Mekni
A
A
Bellil
S
S
Haouet
S
S
Kchir
N
N
Horchani
A
A
Zitouna
M M
MM
D015746:Abdominal Pain; D000196:Actinomycosis / Q000175:diagnosis*; D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000000981:diagnostic imaging / Q000382:microbiology*; D010173:Palpation; D011859:Radiography
D000890:Anti-Infective Agents