Renal Actinomycosis Mimicking Renal Carcinoma

Dieckmann, Klaus‐Peter; Henke, Rolf‐Peter; Ovenbeck, Ralph

doi:10.1159/000052467

Cited by 12 publications

(16 citation statements)

References 5 publications

(9 reference statements)

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“…Consideration of actinomycotic infection in the differential diagnosis of renal or pelvic mass with fevers and weight loss is important as recognition may avoid laparotomy, hasten treatment with antibiotics, and decrease intraoperative complication from distorted tissue planes 16 . We hope that our experience increases awareness of actinomycotic renal infection in the obstetric and general population.…”

Section: Discussionmentioning

confidence: 84%

Renal hemorrhagic actinomycotic abscess in pregnancy

Smid

Bhardwaj

Giovanni

et al. 2014

Infectious Disease Reports

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Actinomyces israelii is a gram-positive, filamentous anaerobic bacteria colonizing the oral and gastrointestinal tracts. Retroperitoneal actinomycotic abscess is uncommon and its rare presentation as a hemorrhagic mass may be confused with malignancy. We present a case of this unusual infection complicating pregnancy. Increased awareness of actinomycotic abscess in the differential diagnosis of renal mass concerning for malignancy is critical to early recognition and treatment of this rare infection and most importantly, avoidance of unnecessary surgical intervention.

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Section: Discussionmentioning

confidence: 84%

Renal hemorrhagic actinomycotic abscess in pregnancy

Smid

Bhardwaj

Giovanni

et al. 2014

Infectious Disease Reports

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“…Renal involvement may mimic neoplasia. [3] The disease presents clinically with general symptoms of chronic disease such as low-grade fever, loin pain and weight loss, although high-grade fever, sepsis and death have been reported. [23] Actinomycosis of the kidney may present as: renal abscess, abscess forming pyelonephritis, pyonephrosis with renal calculosis and necrotizing papilllitis.…”

Section: Discussionmentioning

confidence: 99%

“…[3] The disease presents clinically with general symptoms of chronic disease such as low-grade fever, loin pain and weight loss, although high-grade fever, sepsis and death have been reported. [23] Actinomycosis of the kidney may present as: renal abscess, abscess forming pyelonephritis, pyonephrosis with renal calculosis and necrotizing papilllitis. Two types of CT patterns have been described in renal actinomycosis:[4] a) solid masses with areas of low attenuation and variable contrast enhancement and b) cystic masses with thick enhancing walls.…”

Section: Discussionmentioning

confidence: 99%

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Renal actinomycosis presenting as a suppurated solitary cyst

et al. 2008

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We report the case of a middle-aged female with a solitary renal cyst suppurated by Actinomyces israeli. The patient was treated successfully by emergency nephrectomy. Based on a detailed negative history of inciting events and predisposing factors for actinomycosis, negative imaging modalities for extra-renal organ implication and no involvement of the surrounding renal parenchyma, the case is considered as primary renal actinomycosis affecting a solitary cyst of the kidney. This is the first such case reported in the international literature.

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“…Actinomycosis is a chronic suppurative granulomatous disease 1 caused by an anaerobic Gram positive germ, Actinomyces . Although with a low potential of contagiousness, 1,2 this rare disease can be severe and life‐threatening 3 . Actinomyces israelii is a normal inhabitant in the gastrointestinal tract of humans and is exceptionally incriminated in infections in non‐immunodeficient patients 1,2 .…”

Section: Discussionmentioning

confidence: 99%