Renal actinomycosis presenting as uro-cutaneous fistula

Renal actinomycosis presenting as uro-cutaneous fistula

Renal actinomycosis is a rare clinical entity. Diagnosis is usually made after resection. A 36-year-old male presented with uro-cutaneous fistula and left xanthogranulomatous pyelonephritis. He was offered left open radical nephrectomy. Intra-operatively, there was “woody” inflammation of the left k...

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Main Authors: Christian Diab, Ahmad Almarzouq, Oluyomi Ajise, Sapha Barkati, Jean Tchervenkov, Sero Andonian
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442019304000
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spelling doaj-e56dc8004db34eb3808c65d91e71d2bd2020-11-25T01:29:43ZengElsevierUrology Case Reports2214-44202020-01-0128Renal actinomycosis presenting as uro-cutaneous fistulaChristian Diab0Ahmad Almarzouq1Oluyomi Ajise2Sapha Barkati3Jean Tchervenkov4Sero Andonian5Division of Urology, Department of Surgery, McGill University, Montreal, QC, CanadaDivision of Urology, Department of Surgery, McGill University, Montreal, QC, CanadaDivision of Pathology, McGill University, Montreal, QC, CanadaDivision of Medical Microbiology and division of Infectious Diseases, McGill University, Montreal, QC, CanadaDivision of Hepato-biliary Service, Department of Surgery, McGill University, Montreal, QC, CanadaDivision of Urology, Department of Surgery, McGill University, Montreal, QC, Canada; Corresponding author. McGill University Health Centre, 1001 Boulevard Decarie, D05.5331, Montreal, QC, H4A 3J1, Canada.Renal actinomycosis is a rare clinical entity. Diagnosis is usually made after resection. A 36-year-old male presented with uro-cutaneous fistula and left xanthogranulomatous pyelonephritis. He was offered left open radical nephrectomy. Intra-operatively, there was “woody” inflammation of the left kidney fistulizing to the splenic flexure of the colon. We successfully resected it and a segment of the colon that had fistulized. His tissue cultures grew Actinomyces odontolyticus. Post-operatively, he received 6 weeks of intravenous beta-lactam antibiotic. He recovered well without any complications. In conclusion, renal actinomycosis can be challenging to diagnose, operate and eradicate. Perioperative considerations are presented for successful management. Keywords: Actinomycosis, Infection, Pyelonephritis xanthogranulomatous, Urinary fistula, Kidney calculi, Disease managementhttp://www.sciencedirect.com/science/article/pii/S2214442019304000
collection DOAJ
language English
format Article
sources DOAJ
author Christian Diab
Ahmad Almarzouq
Oluyomi Ajise
Sapha Barkati
Jean Tchervenkov
Sero Andonian
spellingShingle Christian Diab
Ahmad Almarzouq
Oluyomi Ajise
Sapha Barkati
Jean Tchervenkov
Sero Andonian
Renal actinomycosis presenting as uro-cutaneous fistula
Urology Case Reports
author_facet Christian Diab
Ahmad Almarzouq
Oluyomi Ajise
Sapha Barkati
Jean Tchervenkov
Sero Andonian
author_sort Christian Diab
title Renal actinomycosis presenting as uro-cutaneous fistula
title_short Renal actinomycosis presenting as uro-cutaneous fistula
title_full Renal actinomycosis presenting as uro-cutaneous fistula
title_fullStr Renal actinomycosis presenting as uro-cutaneous fistula
title_full_unstemmed Renal actinomycosis presenting as uro-cutaneous fistula
title_sort renal actinomycosis presenting as uro-cutaneous fistula
publisher Elsevier
series Urology Case Reports
issn 2214-4420
publishDate 2020-01-01
description Renal actinomycosis is a rare clinical entity. Diagnosis is usually made after resection. A 36-year-old male presented with uro-cutaneous fistula and left xanthogranulomatous pyelonephritis. He was offered left open radical nephrectomy. Intra-operatively, there was “woody” inflammation of the left kidney fistulizing to the splenic flexure of the colon. We successfully resected it and a segment of the colon that had fistulized. His tissue cultures grew Actinomyces odontolyticus. Post-operatively, he received 6 weeks of intravenous beta-lactam antibiotic. He recovered well without any complications. In conclusion, renal actinomycosis can be challenging to diagnose, operate and eradicate. Perioperative considerations are presented for successful management. Keywords: Actinomycosis, Infection, Pyelonephritis xanthogranulomatous, Urinary fistula, Kidney calculi, Disease management
url http://www.sciencedirect.com/science/article/pii/S2214442019304000
work_keys_str_mv AT christiandiab renalactinomycosispresentingasurocutaneousfistula
AT ahmadalmarzouq renalactinomycosispresentingasurocutaneousfistula
AT oluyomiajise renalactinomycosispresentingasurocutaneousfistula
AT saphabarkati renalactinomycosispresentingasurocutaneousfistula
AT jeantchervenkov renalactinomycosispresentingasurocutaneousfistula
AT seroandonian renalactinomycosispresentingasurocutaneousfistula
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