Renal actinomycosis complicated by renoduodenal fistula and diabetes mellitus

Abstract

A 19-year-old woman presented with nausea. vomiting and bilateral loin pain of increasing intensity and duration which was unresponsive to antispasmolytic agents. Two months prior to admission the pain was predominantly localized to the right lumbar region and was associated with several episodes of painless haematuria, pyrexia, elevated blood glucose and 20 kg weight loss.Physical examination revealed severe cachexia, tenderness and pain on palpation of the right lumbar region. A large ill-defined mass was palpable. Abdominal ultrasonography showed an extensive tumour mass involving the right hdney. Hepatomegaly , splenomegaly and pancreatic enlargement were also identified.An intravenous urogram showed a right spaceoccupying lesion with distortion of the pelvicalyceal system. Renal arteriography revealed hypertrophied venous vessels but no hypervascularization. Computed

Characterizations of oral microbiota in elderly nursing home residents with diabetes

“…Goodson et al also noted an abundance of Actinomyces and A. israelii, as was the case in our subjects. Actinomyces is a widely recognized pathogen causing actinomycosis, and several case reports of actinomycosis complicating diabetes have been published (28,29). However, details of the relationship between actinomycosis severity and diabetes remain unknown.…”

Pelvic actinomycosis: urologic perspective

“…During the past 3 decades, the medical literature has cited a number of case reports of Actinomycosis of the genito-urinary system. Actinomycosis has caused primary infections of the kidney (5-7), including a horseshoe kidney (8), renal duodenal fistula (9), and reno-colic fistula (10).…”