Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory Disease

Actinomyces is a Gram-positive, filamentous bacterium that normally colonizes mucosal areas. Pelvic actinomycosis is a chronic granulomatous disease caused by Actinomyces israelii that frequently mimics ovarian tumors during presentation. It is diagnosed after surgery in most of the cases. Intraveno...

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Main Authors: Richard Khafagy, Omar Jundi, Karol Rogawski, Siva Namasiviyam
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2011/186708
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author Richard Khafagy
Omar Jundi
Karol Rogawski
Siva Namasiviyam
author_facet Richard Khafagy
Omar Jundi
Karol Rogawski
Siva Namasiviyam
author_sort Richard Khafagy
collection DOAJ
description Actinomyces is a Gram-positive, filamentous bacterium that normally colonizes mucosal areas. Pelvic actinomycosis is a chronic granulomatous disease caused by Actinomyces israelii that frequently mimics ovarian tumors during presentation. It is diagnosed after surgery in most of the cases. Intravenous penicillin is the most preferred therapeutic agent, and it requires hospitalization up to one month. Pelvic actinomycosis is a rare cause of ureteric obstruction and renal failure. The final diagnosis is usually difficult and often apparent only after histological examination of an operative specimen. The present case led us to consider the etiology and clinical findings and to review the management of reported cases involving ureteric obstruction.
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institution Kabale University
issn 2090-6641
2090-665X
language English
publishDate 2011-01-01
publisher Wiley
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series Case Reports in Nephrology
spelling doaj-art-eb58a818bfa34720964b99625ab21b2e2025-02-03T06:11:35ZengWileyCase Reports in Nephrology2090-66412090-665X2011-01-01201110.1155/2011/186708186708Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory DiseaseRichard Khafagy0Omar Jundi1Karol Rogawski2Siva Namasiviyam3Department of Urology, Calderdale Royal Hospital, West Yorkshire, Halifax HX3 0PW, UKDepartment of Urology, Calderdale Royal Hospital, West Yorkshire, Halifax HX3 0PW, UKDepartment of Urology, Calderdale Royal Hospital, West Yorkshire, Halifax HX3 0PW, UKDepartment of Urology, Calderdale Royal Hospital, West Yorkshire, Halifax HX3 0PW, UKActinomyces is a Gram-positive, filamentous bacterium that normally colonizes mucosal areas. Pelvic actinomycosis is a chronic granulomatous disease caused by Actinomyces israelii that frequently mimics ovarian tumors during presentation. It is diagnosed after surgery in most of the cases. Intravenous penicillin is the most preferred therapeutic agent, and it requires hospitalization up to one month. Pelvic actinomycosis is a rare cause of ureteric obstruction and renal failure. The final diagnosis is usually difficult and often apparent only after histological examination of an operative specimen. The present case led us to consider the etiology and clinical findings and to review the management of reported cases involving ureteric obstruction.http://dx.doi.org/10.1155/2011/186708
spellingShingle Richard Khafagy
Omar Jundi
Karol Rogawski
Siva Namasiviyam
Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory Disease
Case Reports in Nephrology
title Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory Disease
title_full Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory Disease
title_fullStr Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory Disease
title_full_unstemmed Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory Disease
title_short Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory Disease
title_sort persistent ureteric dilatation due to pelvic actinomycosis presenting as pelvic inflammatory disease
url http://dx.doi.org/10.1155/2011/186708
work_keys_str_mv AT richardkhafagy persistenturetericdilatationduetopelvicactinomycosispresentingaspelvicinflammatorydisease
AT omarjundi persistenturetericdilatationduetopelvicactinomycosispresentingaspelvicinflammatorydisease
AT karolrogawski persistenturetericdilatationduetopelvicactinomycosispresentingaspelvicinflammatorydisease
AT sivanamasiviyam persistenturetericdilatationduetopelvicactinomycosispresentingaspelvicinflammatorydisease