Smid MC, Bhardwaj NR, Di Giovanni LM, Eggener S, Torre MD. Renal hemorrhagic actinomycotic abscess in pregnancy.
Infect Dis Rep 2014;
6:5157. [PMID:
24757509 PMCID:
PMC3987246 DOI:
10.4081/idr.2014.5157]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2013] [Revised: 01/29/2014] [Accepted: 02/04/2014] [Indexed: 11/23/2022] Open
Abstract
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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