Uncommon Urinary Actinomycosis Mimicking Upper Urinary Tract Urothelial Tumor: Case Report and Literature Review
Urinary actinomycosis is a rare condition, often mimicking a urinary tract tumor. Due to its low prevalence, it can be challenging to diagnose and may be mistaken for malignancies. A 33-year-old female patient with a history of type 2 <i>Diabetes Mellitus</i> and recurrent urinary tract...
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MDPI AG
2025-04-01
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| Series: | Microorganisms |
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| Online Access: | https://www.mdpi.com/2076-2607/13/5/1033 |
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| author | Patricia A. Meza-Meneses Rodrigo Pérez Becerra Gerardo Garza Sainz Luis Trujillo Ortiz Adrián Martinez Correa Alan Rodrigo Pérez Soriano Ruben Miguel Angel Santiago González Aarón Delgado Corral Omar Vieyra Valdez Genaro Argüelles Morales Mario Alberto Toledo Díaz Alberto Saldivar Luna Carlos Alberto Castro-Fuentes Victor Osornio Sánchez |
| author_facet | Patricia A. Meza-Meneses Rodrigo Pérez Becerra Gerardo Garza Sainz Luis Trujillo Ortiz Adrián Martinez Correa Alan Rodrigo Pérez Soriano Ruben Miguel Angel Santiago González Aarón Delgado Corral Omar Vieyra Valdez Genaro Argüelles Morales Mario Alberto Toledo Díaz Alberto Saldivar Luna Carlos Alberto Castro-Fuentes Victor Osornio Sánchez |
| author_sort | Patricia A. Meza-Meneses |
| collection | DOAJ |
| description | Urinary actinomycosis is a rare condition, often mimicking a urinary tract tumor. Due to its low prevalence, it can be challenging to diagnose and may be mistaken for malignancies. A 33-year-old female patient with a history of type 2 <i>Diabetes Mellitus</i> and recurrent urinary tract infections presented to the emergency room with right renal fossa pain radiating to the right hypochondrium, fever with chills, nausea, and vomiting. Physical examination revealed a positive Giordano sign and tenderness at the ipsilateral middle and upper ureteral points. A contrast-enhanced CT scan showed a mass infiltrating the distal third of the right ureter, causing retrograde dilatation and hydronephrosis. Additionally, a liver injury with both liquid and solid components was observed. Therefore, given the suspicion of a urothelial tumor, a diagnostic cystoscopy and ureteroscopy were performed. Using interventional radiology, an abscessed liver lesion was drained, yielding purulent fluid. The histopathological examination revealed no evidence of malignancy. However, due to the strong suspicion of upper urinary tract urothelial carcinoma, a right radical nephroureterectomy with bladder cuff excision and retroperitoneal lymphadenectomy was performed. Histopathological examination ultimately confirmed urinary actinomycosis. Consequently, antibiotic therapy with oral amoxicillin 2 g every 12 h was initiated, leading to a good clinical response. Despite its low incidence, urinary actinomycosis should be considered as a differential diagnosis in cases suspected of urothelial tumors in the upper urinary tract. Increased awareness of this rare condition may help prevent unnecessary surgical interventions. |
| format | Article |
| id | doaj-art-03fe1bd454634eada33cb666b9824e04 |
| institution | Kabale University |
| issn | 2076-2607 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Microorganisms |
| spelling | doaj-art-03fe1bd454634eada33cb666b9824e042025-08-20T03:47:58ZengMDPI AGMicroorganisms2076-26072025-04-01135103310.3390/microorganisms13051033Uncommon Urinary Actinomycosis Mimicking Upper Urinary Tract Urothelial Tumor: Case Report and Literature ReviewPatricia A. Meza-Meneses0Rodrigo Pérez Becerra1Gerardo Garza Sainz2Luis Trujillo Ortiz3Adrián Martinez Correa4Alan Rodrigo Pérez Soriano5Ruben Miguel Angel Santiago González6Aarón Delgado Corral7Omar Vieyra Valdez8Genaro Argüelles Morales9Mario Alberto Toledo Díaz10Alberto Saldivar Luna11Carlos Alberto Castro-Fuentes12Victor Osornio Sánchez13Infectology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoResearch Unit, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrology Service, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social Para el Bienestar (IMSS-BIENESTAR), Carretera Federal Mexico-Puebla Km 34.5, Ixtapaluca 56530, MexicoUrinary actinomycosis is a rare condition, often mimicking a urinary tract tumor. Due to its low prevalence, it can be challenging to diagnose and may be mistaken for malignancies. A 33-year-old female patient with a history of type 2 <i>Diabetes Mellitus</i> and recurrent urinary tract infections presented to the emergency room with right renal fossa pain radiating to the right hypochondrium, fever with chills, nausea, and vomiting. Physical examination revealed a positive Giordano sign and tenderness at the ipsilateral middle and upper ureteral points. A contrast-enhanced CT scan showed a mass infiltrating the distal third of the right ureter, causing retrograde dilatation and hydronephrosis. Additionally, a liver injury with both liquid and solid components was observed. Therefore, given the suspicion of a urothelial tumor, a diagnostic cystoscopy and ureteroscopy were performed. Using interventional radiology, an abscessed liver lesion was drained, yielding purulent fluid. The histopathological examination revealed no evidence of malignancy. However, due to the strong suspicion of upper urinary tract urothelial carcinoma, a right radical nephroureterectomy with bladder cuff excision and retroperitoneal lymphadenectomy was performed. Histopathological examination ultimately confirmed urinary actinomycosis. Consequently, antibiotic therapy with oral amoxicillin 2 g every 12 h was initiated, leading to a good clinical response. Despite its low incidence, urinary actinomycosis should be considered as a differential diagnosis in cases suspected of urothelial tumors in the upper urinary tract. Increased awareness of this rare condition may help prevent unnecessary surgical interventions.https://www.mdpi.com/2076-2607/13/5/1033urinary actinomycosisurothelial tumorurinary tractcase reportmisdiagnosedmimicking |
| spellingShingle | Patricia A. Meza-Meneses Rodrigo Pérez Becerra Gerardo Garza Sainz Luis Trujillo Ortiz Adrián Martinez Correa Alan Rodrigo Pérez Soriano Ruben Miguel Angel Santiago González Aarón Delgado Corral Omar Vieyra Valdez Genaro Argüelles Morales Mario Alberto Toledo Díaz Alberto Saldivar Luna Carlos Alberto Castro-Fuentes Victor Osornio Sánchez Uncommon Urinary Actinomycosis Mimicking Upper Urinary Tract Urothelial Tumor: Case Report and Literature Review Microorganisms urinary actinomycosis urothelial tumor urinary tract case report misdiagnosed mimicking |
| title | Uncommon Urinary Actinomycosis Mimicking Upper Urinary Tract Urothelial Tumor: Case Report and Literature Review |
| title_full | Uncommon Urinary Actinomycosis Mimicking Upper Urinary Tract Urothelial Tumor: Case Report and Literature Review |
| title_fullStr | Uncommon Urinary Actinomycosis Mimicking Upper Urinary Tract Urothelial Tumor: Case Report and Literature Review |
| title_full_unstemmed | Uncommon Urinary Actinomycosis Mimicking Upper Urinary Tract Urothelial Tumor: Case Report and Literature Review |
| title_short | Uncommon Urinary Actinomycosis Mimicking Upper Urinary Tract Urothelial Tumor: Case Report and Literature Review |
| title_sort | uncommon urinary actinomycosis mimicking upper urinary tract urothelial tumor case report and literature review |
| topic | urinary actinomycosis urothelial tumor urinary tract case report misdiagnosed mimicking |
| url | https://www.mdpi.com/2076-2607/13/5/1033 |
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