A new form of presentation of renal actinomycosis: renal tumor with retroperitoneal bleeding.
OBJECTIVE
The aim of this case report is to add to the literature a new case of renal actinomycosis, but with a form of presentation that has never been reported: renal tumor with retroperitoneal bleeding.


RESULTS
We present the case of a 27-year-old woman, with a 5-month history of general syndrome and right flank pain. Radiological findings showed a right renal tumor with suspicious of retroperitoneal bleeding. Right radical nephrectomy was performed and the pathological examination of the specimen found actinomyces colonies. The patient received 8 weeks of Penicillin after surgery and had none sequelae. easily diagnosed because of non-specific clinical and radiological findings. Early diagnosis of renal actinomycosis is important to avoid surgery since actinomyces respond well to high doses of Penicillin.
Jalón Monzón
Antonio
A
Urology Department, Hospital Universitario Central de Asturias, Oviedo, Spain. ajalonm@hotmail.com
Alvarez Múgica
Miguel
M
Seco Navedo
Miguel Angel
MA
Fernández Gómez
Jesús Maria
JM
Bulnes Vázquez
Verónica
V
González Alvarez
Roberto Carlos
RC
Martínez Gómez
Francisco Javier
FJ
Regadera Sejas
Francisco Javier
FJ
D000196:Actinomycosis / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology*; D012187:Retroperitoneal Space