Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory Disease

Abstract

Actinomyces is a Gram-positive, filamentous bacterium that normally colonizes mucosal areas. Pelvic actinomycosis is a chronic granulomatous disease caused by Actinomyces israelii that frequently mimics ovarian tumors during presentation. It is diagnosed after surgery in most of the cases. Intravenous penicillin is the most preferred therapeutic agent, and it requires hospitalization up to one month. Pelvic actinomycosis is a rare cause of ureteric obstruction and renal failure. The final diagnosis is usually difficult and often apparent only after histological examination of an operative specimen. The present case led us to consider the etiology and clinical findings and to review the management of reported cases involving ureteric obstruction.

A prevalência de doenças no colo do útero em mulheres com dispositivo intra-uterino hormonal

“…A Actinomyces é uma bactéria Gram-positiva filamentosa, não ácido-resistentes e anaeróbicas que normalmente coloniza áreas mucosas da orofaringe, trato gastrointestinal (TGI) e geniturinário. Não obstante, o agente pode causar a infecção denominada actinomicose que é uma resposta granulomatosa crônica, supurativa que pode ter complicações como o surgimento de abscessos contendo enxofre (Sharma;Hashmi;Valentino, 2023;Khafagy et al, 2011).…”

Renal actinomycosis

“…Actinomyces are Gram-positive anaerobic filamentous bacteria that are commensals in the oral cavity and gastrointestinal tract 1. Actinomycosis develops under certain predisposing conditions; common forms are cervicofacial, thoracic and abdominal infections.…”