Renal Actinomycosis: An Unexpected Diagnosis for Unusual Symptoms

Lovelesh Kumar Nigam *

Gujarat University of Transplantation Sciences, India.

*Author to whom correspondence should be addressed.


Abstract

Actinomycosis is an uncommon chronic granulomatous infection caused by gram-positive anaerobic bacterium, Actinomyces israelii (A. Israelli).There are a very few cases of renal actinomycosis (RA) as clinical findings of genitourinary actinomycosis are usually non-specific. Here we present two cases of RA which presented with urinary tract infection and one of them was suspected to have neoplastic lesion on radiology.

Keywords: Renal, actinomycosis, sulphur granules


How to Cite

Nigam, Lovelesh Kumar. 2022. “Renal Actinomycosis: An Unexpected Diagnosis for Unusual Symptoms”. Asian Journal of Case Reports in Surgery 5 (2):380-84. https://www.journalajcrs.com/index.php/AJCRS/article/view/332.

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References

Herbland et al. Fulminant course of unilateral emphysematous pyelonephritis revealing a renal actinomycosis caused by Actinomyces meyeri, an unknown cause of septic shock. Journal of Intensive Care. 2014;2:42.

Yenarkarn P, Ruedi F. Thoeni RF, Hanks D. Case 117: Actinomycosis of Left Kidney with Sinus Tracts1. Radiology. 2007; 244: 309–313.

DOI: 10.1148/radiol.2441041211.

Jalón Monzón AJ, Múgica1 MA, Navedo MAS, Gómez1 JMF, Vázquez VB. A New Form of Presentation of Renal Actinomycosis: Renal Tumor with Retroperitoneal Bleeding. Arch. Esp. Urol. 2006;59(7):756-759 (ACT2).

Yu-Hsiang Lin, Hsiao-Wen Chen, Cheng-Keng Chuang, Kwai-Fong Ng, Hsu-Han Wang. Renal Actinomycosis Presented as Emphysematous Pyelonephritis: A Case Report. JTUA 2009;20:181-3. (ACT3)

Behbehani MJ, Heeley JD, Jordan HV. Comparative Histopathology of Lesions Produced by Actinomyces israelii, Actinomyces naeslundii, and Actinomyces viscosus in Mice. Am J Pathol 1983; 110:267-274. (ACT4)

Amrikachi M, Krishnan B, Finch CJ, Shahab I. Actinomyces and Actinobacillus actinomycetemcomitans - Actinomyces–Associated Lymphadenopathy Mimicking Lymphoma. Arch Pathol Lab Med. 2000;124:1502–1505(ACT6).

Chia-Da Lin, Huai-Ching Tai, Chia-Chi Wang, Chung-Tai Yu, Shang-Jen Chang, Cheng-Hsing Hsieh. Renal actinomycosis: An unusual cause of a renal abscess. Urological Science. 2012;23:129e132 (ACT5)

Könönen E, Wade WG. Actinomyces and related organisms in human infections. Clin Microbiol Rev. 2015;28 (2):419-42. [Medline].

Westhoff C. IUDs and colonization or infection with Actinomyces. Contraception. 2007;75(6 Suppl):S48-50. [Medline].

Patel BJ, Moskowitz H, Hashmat A. Unilateral renal Actinomycosis. Urol. 1983; 21:172.

Gidwani AL, Connolly D, Khan A, Kemohan R, Brown M, Kenny B. Renal, colic and retroperitoneal actinomycosis – A case report. WAJM. 2005;24(4):343-345.

Pourmand MR, Dehghani S, Hadjati M, Kosari F, Pourmand GR. Renal Actinomycosis in Presence of Renal Stones in a Patient with End Stage Renal Disease. J Med Bacteriol. 2012; 1 (3, 4):62-65.

Bearrick E, Dixon CA, Rhein J, Borofsky MS. Retroperitoneal Actinomycosis: A Rare Sequela of an Infected Obstructing Ureteral Stone. Journal of Endourology Case Reports. 2017;3(1):93-96.

Available:https://doi.org/10.1089/cren.2017.0048.

Segura-Perez E, Ulloa-Gutierrez R, Ávila-Aguero ML. Thoracic and Renal Actinomycosis Requiring Complete Right Nephrectomy in a Costa Rican Female Child. Cureus. 2020;12(2): e6879.

DOI: 10.7759/cureus.6879.

Khalaff H, Srigley JR, Klotz LH. Re-cognition of renal Actinomycosis: Nephrectomy can be avoided. Report of a case. Can. J. Surg. 1995;38:77.