Abdominal Actinomycosis Complicated with Hydronephrosis

Actinomycosis is a chronic supportive granulomatosis disease caused by the anaerobic Gram-positive organism Actinomyces. We report a 16-year-old boy with abdominal actinomycosis who presented with a 2-week history of intermittent abdominal pain. He complained of oliguria during the 3 days prior to a...

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Bibliographic Details
Published inJournal of the Formosan Medical Association Vol. 104; no. 9; pp. 666 - 669
Main Authors 林建亨(Chien-Heng Lin), 陳安琪(An-Chyi Chen), 林曉娟(Hsiao-Chuan Lin), 林維卿(Wei-Ching Lin), 吳淑芬(Shu-Fen Wu)
Format Journal Article
LanguageEnglish
Published Singapore 臺灣醫學會 01.09.2005
Subjects
Abdominal Pain - etiology
Actinomycosis - complications
Actinomycosis - diagnosis
Adolescent
Humans
Hydronephrosis - etiology
Male
Tomography
Actinomycosis
X-ray computed
Hydronephrosis
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ISSN0929-6646
DOI10.29828/JFMA.200509.0008

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Summary:Actinomycosis is a chronic supportive granulomatosis disease caused by the anaerobic Gram-positive organism Actinomyces. We report a 16-year-old boy with abdominal actinomycosis who presented with a 2-week history of intermittent abdominal pain. He complained of oliguria during the 3 days prior to admission. Abdominal computed tomography revealed a large inflammatory mass obstructing the ureter, which led to hydronephrosis of the right kidney. Exploratory laparotomy was performed and actinomycosis was confirmed by the presence of sulfur granules and filamentous bacteria. Postoperatively, the patient was successfully treated with long-term penicillin and recovered completely.
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ISSN:0929-6646
DOI:10.29828/JFMA.200509.0008