Primary Vesical Actinomycosis Diagnosed by Routine Urine Cytology

Jang, Sang Ock; Na, Woong; Jun, Young Jin; Paik, Seung Sam

doi:10.1159/000325198

Cited by 8 publications

(4 citation statements)

References 5 publications

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“…In this case, the patient presented with a urinary bladder wall ‘tumor’ suspicious for malignancy and routine urine cytology demonstrated “dusty islands surrounded by dense populations of neutrophils.” Within the islands, thin, delicate, filamentous bacterial structures were identified, resulting in a cytologic diagnosis of actinomycosis. This diagnosis was confirmed via routine histology in a post‐surgical excision …”

Section: Cytopathology Of Nocardia and Actinomyces On Exfoliative Spementioning

confidence: 79%

“…More frequently, actinomycosis involving the urinary bladder occurs secondary to direct extension from a primary infectious source in a neighboring pelvic organ . Jang et al reported a single patient with the initial diagnosis of primary vesical actinomycosis made on routine urine cytology . In this case, the patient presented with a urinary bladder wall ‘tumor’ suspicious for malignancy and routine urine cytology demonstrated “dusty islands surrounded by dense populations of neutrophils.” Within the islands, thin, delicate, filamentous bacterial structures were identified, resulting in a cytologic diagnosis of actinomycosis.…”

Section: Cytopathology Of Nocardia and Actinomyces On Exfoliative Spementioning

confidence: 95%

“…Approximately 20%‐30% of actinomycotic infections involve the pelvis . However, primary vesical actinomycosis is an extremely rare entity with a total of 10 cases reported in the literature to date . More frequently, actinomycosis involving the urinary bladder occurs secondary to direct extension from a primary infectious source in a neighboring pelvic organ .…”

Section: Cytopathology Of Nocardia and Actinomyces On Exfoliative Spementioning

confidence: 99%

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The cytopathology of Actinomyces, Nocardia, and their mimickers

McHugh

Sturgis

Procop

et al. 2017

Diagnostic Cytopathology

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Nocardia species and Actinomyces species are 2 of the most commonly diagnosed filamentous bacteria in routine cytopathology practice. These genera share many overlapping cytomorphologic features, including their thin, beaded, branching, Gram-positive, GMS-positive filamentous structures that fragment at their peripheries into bacillary- and coccoid-appearing forms. Features that help distinguish between these 2 microorganisms include the width of their filamentous structures, the angles at which they branch, and their ability or lack thereof to retain a modified acid-fast stain. In addition to cytomorphologic overlap, overlap in clinical presentation is frequent with pulmonary and mucocutaneous presentations seen in both. Differentiating between Nocardia and Actinomyces is essential because patients with these infections require different approaches to medical management. Both antibiotic susceptibilities and the need for early surgical intervention as part of the treatment plan vary greatly among these 2 groups. This review focuses on the clinical presentation, cytomorphology and staining characteristics that can be useful in identifying and distinguishing between Nocardia and Actinomyces infections, as well as their mimickers.

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Section: Cytopathology Of Nocardia and Actinomyces On Exfoliative Spementioning

confidence: 79%

Section: Cytopathology Of Nocardia and Actinomyces On Exfoliative Spementioning

confidence: 95%

Section: Cytopathology Of Nocardia and Actinomyces On Exfoliative Spementioning

confidence: 99%

See 1 more Smart Citation

The cytopathology of Actinomyces, Nocardia, and their mimickers

McHugh

Sturgis

Procop

et al. 2017

Diagnostic Cytopathology

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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. Consequently, we have observed that histopathological diagnosis was made for most of the reported vesical actinomycosis cases in the literature.…”

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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Cytologic Manifestations of Benign Disorders Affecting Cells of the Lower Urinary Tract

Koss

Hoda

2011

Koss's Cytology of the Urinary Tract With Histopathologic Correlations

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Primary Vesical Actinomycosis Diagnosed by Routine Urine Cytology

Cited by 8 publications

References 5 publications

The cytopathology of Actinomyces, Nocardia, and their mimickers

The cytopathology of Actinomyces, Nocardia, and their mimickers

Primary Vesical Actinomycosis in a 23-Year-Old Man

Cytologic Manifestations of Benign Disorders Affecting Cells of the Lower Urinary Tract

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