Renal Actinomycosis Initially Misdiagnosed as Renal Cell Carcinoma with Renal Vein Thrombosis

Jong Wook Kim; Hyoung Kook Jeong; Jong Jin Park; Ji Yun Chae; Hong Seok Park; Du Geon Moon; Mi Mi Oh

doi:10.14777/uti.2016.11.02.73

Journal List > Urogenit Tract Infect > v.11(2) > 1084208

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Kim, Jeong, Park, Chae, Park, Moon, and Oh: Renal Actinomycosis Initially Misdiagnosed as Renal Cell Carcinoma with Renal Vein Thrombosis

Case Report

Urogenit Tract Infect 2016;11(2):73-75.

Published online: 19 January 2016

DOI: https://doi.org/10.14777/uti.2016.11.02.73

Renal Actinomycosis Initially Misdiagnosed as Renal Cell Carcinoma with Renal Vein Thrombosis

Jong Wook Kim, Hyoung Kook Jeong, Jong Jin Park, Ji Yun Chae, Hong Seok Park, Du Geon Moon, Mi Mi Oh

Department of Urology, Korea University Guro Hospital, Seoul, Korea

Correspondence to: Mi Mi Oh http://orcid.org/0000-0002-1232-2598 Department of Urology, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, Korea Tel: +82-2-2626-1310, Fax: +82-2-2626-1321 E-mail: mamah@hanmail.net

Received 28 March 2016 Revised 13 June 2016 Accepted 8 July 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This case report describes an uncommon case of renal actinomycosis in a 63-year-old man. The patient underwent radical nephrectomy for suspicious renal cell carcinoma with renal vein thrombosis and spinal metastasis. The postoperative diagnosis of renal and spinal actinomycosis was established in accordance with the results from histological examination. Three years after surgery, the patient did not show any symptoms of recurrence.

Keywords: Actinomycosis, Carcinoma, renal cell, Renal vein thrombus

REFERENCES

1.Mueller MC., Ihrler S., Degenhart C., Bogner JR. Abdominal actinomycosis. Infection. 2008. 36:191.

2.Das N., Lee J., Madden M., Elliot CS., Bateson P., Gilliland R. A rare case of abdominal actinomycosis presenting as an inflammatory pseudotumour. Int J Colorectal Dis. 2006. 21:483–4.

3.Lee IJ., Ha HK., Park CM., Kim JK., Kim JH., Kim TK, et al. Abdominopelvic actinomycosis involving the gastrointestinal tract: CT features. Radiology. 2001. 220:76–80.

4.Wagenlehner FM., Mohren B., Naber KG., Mannl HF. Abdominal actinomycosis. Clin Microbiol Infect. 2003. 9:881–5.

5.Chang DS., Jang WI., Jung JY., Chung S., Choi DE., Na KR, et al. Renal actinomycosis with concomitant renal vein thrombosis. Clin Nephrol. 2012. 77:156–60.

6.Hayashi M., Asakuma M., Tsunemi S., Inoue Y., Shimizu T., Komeda K, et al. Surgical treatment for abdominal actinomycosis: a report of two cases. World J Gastrointest Surg. 2010. 2:405–8.

7.Lin CD., Tai HC., Wang CC., Yu CT., Chang SJ., Hsieh CH, et al. Renal actinomycosis—an unusual cause of a renal abscess. Urol Sci. 2012. 23:129–32.

8.Acevedo F., Baudrand R., Letelier LM., Gaete P. Actinomycosis: a great pretender. Case reports of unusual presentations and a review of the literature. Int J Infect Dis. 2008. 12:358–62.

Fig. 1.

An abdomino-pelvic computed tomography scan showed two exophytic renal masses—1.5 cm and 3.7 cm in size (A, B)—with renal vein thrombosis (C, arrow). The masses showed unclear margins with possible direct invasion to the ascending colon (arrows of A, B). (D) A magnetic resonance imaging scan showed a 2-cm soft-tissue mass on the anterior portion of the L2 vertebral body with cortical disruption (arrow).

Fig. 2.

A photomicrograph showed filamentous bacteria in a sulfur granule (Gomori methenamine-silver staining, ×400).

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