A new form of presentation of renal actinomycosis: renal tumor with retroperitoneal bleeding

Objective: The aim of this case report is to add to the literature a new case of renal actinomycosis, but with a form of presentation that has never been reported: renal tumor with retroperitoneal bleeding. Methods/Results: We present the case of a 27 year old woman, with a 5-month history of general syndrome and right flank pain. Radiological findings showed a right renal tumor with suspicious of retroperitoneal bleeding. Right radical nephrectomy was performed and the pathological examination of the specimen found actinomyces colonies. The patient received 8 weeks of Penicillin after surgery and had none sequelae. Conclusions: Renal actinomycosis is an uncommon chronic infection caused by a gram-positive anaerobic actinomyces bacteria, usually actinomyces israelii, not easily diagnosed because of non-specific clinical and radiological findings. Early diagnosis of renal actinomycosis is important to avoid surgery since actinomyces respond well to high doses of Penicillin.

Bibliographic Details

Main Authors:	Jalón Monzón,Antonio, Álvarez Múgica,Miguel, Seco Navedo,Miguel Ángel, Fernández Gómez,Jesús Maria, Bulnes Vázquez,Verónica, González Álvarez,Roberto Carlos, Martínez Gómez,Francisco Javier, Regadera Sejas,Francisco Javier
Format:	Digital revista
Language:	English
Published:	INIESTARES, S.A. 2006
Online Access:	http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0004-06142006000700018
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