Intra-abdominal actinomycosis presenting with sulfur granules in the urine

Wajszczuk, Charles P.; Logan, Theodore F.; Pasculle, A. William; Ho, Monto

doi:10.1016/0002-9343(84)90202-x

Cited by 11 publications

(3 citation statements)

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“…Pyuria and microscopic hematuria are found in the urine analysis and urine culture is usually sterile; there are only a few reported cases diagnosed by urine analyses [16, 17]. Jang et al diagnosed vesical actinomycosis by urine cytology in a female patient [18]; however, they had to verify their diagnosis by endoscopic biopsy and histopathological evaluation.…”

Section: Discussionmentioning

confidence: 99%

Primary Vesical Actinomycosis in a 23-Year-Old Man

Ziypak

Adanur

Özkaya

et al. 2014

Case Reports in Urology

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Introduction. Actinomycosis can affect any organ of the body, although cutaneous fistulas are common in actinomycotic infections, and other organs such as the bladder are only rarely involved. Case Presentation. Herein we report and discuss a young male patient with primary vesical actinomycosis. A 23-year-old man was hospitalized complaining of intermittent gross hematuria over a 6-month duration. The patient underwent a cystoscopic examination under general anesthesia; an edematous, hyperemic, wide-based mass, which protruded from the dome of the bladder, was seen and incompletely resected. The histopathological examination of the material showed Actinomyces organisms surrounded by inflammation and a photomicrograph showed the microorganism. After confirmation of bladder actinomycosis, the patient received penicillin. A CT scan of the abdomen and pelvis showed no evidence of the mass at the postoperative 6th month. Cystoscopic examination showed complete healing of the transurethral resection area at the dome of the bladder. Conclusion. In conclusion, we believe that the gold standard treatment for vesical actinomycosis should include the combination of a transurethral resection of the mass and long-term penicillin treatment.

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Section: Discussionmentioning

confidence: 99%

Primary Vesical Actinomycosis in a 23-Year-Old Man

Ziypak

Adanur

Özkaya

et al. 2014

Case Reports in Urology

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“…Lassen sich diese Drusen nicht in der Gewebsprobe nachweisen, bereitet der Befund differentialdiagnostische Schwierigkeiten in der Abgrenzung zu einer Malakoplakie der Harnblase (13). Die im Urinsediment oder Fistelsekret gelegentlich gefundenen Schwefelgranula (Sulfur granula) stellen intakte Actinomyceskolonien dar (20).…”

Section: Diagnoseunclassified

Aktinomykose der Harnblase kompliziert durch eine Antibiotika-Allergie

Rassweiler¹,

Kraus²,

Bub³

et al. 1988

Aktuel Urol

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“…Actinomycosis of the urinary bladder usually occurs via direct extension from primary infection of the neighboring pelvic organs. 1,4 Intraabdominopelvic actinomycosis, including vesical actinomycosis, may clinically mimic malignancy because of the nature of its manifestations, such as solid mass formation or infiltrative growing features. [5][6][7] Definitive diagnosis of actinomycosis requires the presence of both proper microbiologic and histopathologic findings.…”

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confidence: 99%