Primary vesical actinomycosis: a case report and literature review.
Pelvic actinomycosis is a chronic granulomatous infection caused by the gram-positive anaerobic bacteria, Actinomyces Israelli. Vesical lesions, particularly without any obvious source of infection, are rare. We report a case of primary vesical actinomycosis which presented as a bladder mass, giving suspicion of malignancy. Repeated trans-urethral deep resections and histo-pathological examinations revealed the true nature of the mass, which was treated by medical means. A high index of suspicion of potentially benign bladder lesions, particularly in a younger age group of patients, is advocated, to prevent unnecessary major surgical procedures.
Al-Kadhi
Sabah
S
Hamad Medical Corporation, Urology, Doha, Qatar.
Venkiteswaran
Krishna Prasad
KP
Al-Ansari
Abdulla
A
Shamsudini
Ahmed
A
Al-Bozom
Issam
I
Kiliyanni
Abdul Salim
AS
D000190:Actinomyces / Q000302:isolation & purification*; D000196:Actinomycosis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D000328:Adult; D003556:Cystitis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male