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Gastrointestinal actinomycosis: an unusual presentation with obstructive uropathy

Report of a case and review of the literature

  • Case Reports
  • Published:
Diseases of the Colon & Rectum

Abstract

A 55-year-old female patient is described who had recurrent retroperitoneal infections without an apparent focus. After a protracted period of illness the infection proved to be caused by actinomycosis. An unusual feature of the inflammatory process consisted of obstruction of the ureters, ultimately resulting in destruction of the left kidney. Hydronephrosis resulting from inflammatory fibrosis has not been reported in the literature before.

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References

  1. Peabody JW, Seabury JH. Actinomyces and nocardiosis. Am J Med 1960;28:99–115.

    PubMed  Google Scholar 

  2. Israël J. Neue Beobachtungen auf dem Gebiete der Mykosen des Menschen. Virchows Arch A Pathol Anat Histol 1878;74:15–53.

    Google Scholar 

  3. Shadomy HJ, Utz JP. Deep fungal infections. In: Fitzpatrick TB, Eisen AZ, Wolff K, Freedberg IM, Austen KF, eds. Dermatology in general medicine. 4th ed. New York: McGraw-Hill, 1993:2468–70.

    Google Scholar 

  4. Cope VZ. Actinomycosis. London: Oxford University Press, 1938:246.

    Google Scholar 

  5. Berardi RS. Abdominal actinomycosis. Surg Gynecol Obstet 1979;149:257–66.

    PubMed  Google Scholar 

  6. Buchanan RE, Gibbons NE. Gergery's manual of determinative bacteriology. 8th ed. Baltimore: Williams & Wilkins, 1974:660–7.

    Google Scholar 

  7. Gupta PK. Intrauterine contraceptive devices. Vaginal cytology, pathologic changes and clinical implications. Acta Cytol 1982;26:571–613.

    PubMed  Google Scholar 

  8. Schaal KP, Beaman BL. The biology of the actinomycetes. London: Academic Press, 1984;389–407.

    Google Scholar 

  9. Mandell GL, Douglas RG, Bennett JE, eds. Principles and practice of infectious diseases. 2nd ed. New York: John Wiley, 1985.

    Google Scholar 

  10. Brown JR. Human actinomycosis. A study of 181 subjects. Hum Pathol 1973;4:319–30.

    PubMed  Google Scholar 

  11. Hay RJ, Adriaans BM. Bacterial infections. In: Champion RH, Burton JL, Burns DA, Breathnach SM, eds. Rook/Wilkinson/Ebling textbook of dermatology. 6th ed. Oxford: Blackwell Scientific Publications, 1998:1171–3.

    Google Scholar 

  12. Richtsmeier WJ, Johns ME. Actinomycosis of the head and neck. CRC Crit Rev Clin Lab Sci 1979;11:175–202.

    PubMed  Google Scholar 

  13. Reiner SL, Harrelson JM, Miller SE, Hill GB, Gallis HA. Primary actinomycosis of an extremity: a case report and review. Rev Infect Dis 1987;9:581–9.

    PubMed  Google Scholar 

  14. Weese WC, Smith JM. A study of 57 cases of actinomycosis over a 36 year period. Arch Intern Med 1975;135:1562–8.

    PubMed  Google Scholar 

  15. Schiffer MA, Elguezabal A, Sultana M,et al. Actinomycosis infections associated with intrauterine contraceptive devices. Obstet Gynecol 1975;45:67–72.

    PubMed  Google Scholar 

  16. Lippes J. Pelvic actinomycosis: a review and preliminary look at prevalence. Am J Obstet Gynecol 1999;180:265–9.

    PubMed  Google Scholar 

  17. Richards RJ, Grayer D. Actinomycosis: a rare cause of vesicocolic fistula. Am J Gastroenterol 1989;84:677–9.

    PubMed  Google Scholar 

  18. Harris LA, Decosse JJ, Dannenberg A. Abdominal actinomycosis: evaluation by computed tomography. Am J Gastroenterol 1989;84:198–200.

    PubMed  Google Scholar 

  19. Cope Z. Abdominal actinomycosis. In: Maingot R. Abdominal operations. With special articles by British and American contributors. 5th ed. London: Appleton-Century-Crofts, 1969:1206–10.

    Google Scholar 

  20. Posnik MR, Potesman I, Abrahamson J. Primary perianal actinomycosis. Eur J Surg 1996;162:153–4.

    PubMed  Google Scholar 

  21. Deshmukh N, Heaney SJ. Actinomycosis at multiple colonic sites. Am J Gastroenterol 1986;81:1212–4.

    PubMed  Google Scholar 

  22. Ferrari TCA, Couto CA, Murta-Oliveira C, Conceição SA, Silva RG. Actinomycosis of the colon: a rare form of presentation. Scand J Gastroenterol 2000;35:108–9.

    PubMed  Google Scholar 

  23. Bollinger O. Über eine neue Pilzkrankheit beim Rinde. Zbl Med Wiss 1877; 15: 481–7.

    Google Scholar 

  24. Bonnez W, Lattimer G, Mohanraj NA, Johnson TH. Actinomyces naeslundii as an agent of pelvic actinomycosis in the presence of an intrauterine device. J Clin Microbiol 1985;21:273–5.

    PubMed  Google Scholar 

  25. Mitchell RG, Crow MR. Actinomyces odontolyticus isolated from the female genital tract. J Clin Pathol 1984;37:1379–83.

    PubMed  Google Scholar 

  26. Fowler RC, Simpkins KC. Abdominal actinomycosis: a report of three cases. Clin Radiol 1983;34:301–7.

    PubMed  Google Scholar 

  27. Cintron JR, Del Pino A, Duarte B, Wood D. Abdominal actinomycosis: report of two cases and review of the literature. Dis Colon Rectum 1996;39:105–8.

    PubMed  Google Scholar 

  28. Lomax CW, Harbert GM Jr, Thornton WN Jr. Actinomycosis of the female genital tract. Obstet Gynecol 1976;48:341–6.

    PubMed  Google Scholar 

  29. Gertsch P, Diserens H, Mosimann R. Superinfected actinomycotic abscess of the liver. Int Surg 1985;70:39–40.

    PubMed  Google Scholar 

  30. Shurbaji MS, Gupta PK, Newman MM. Hepatic actinomycosis diagnosed by fine needle aspiration. A case report. Acta Cytol 1987;31:751–5.

    PubMed  Google Scholar 

  31. Granger JK, Houn HY. Diagnosis of hepatic actinomycosis by fine-needle aspiration. Diagn Cytopathol 1991;7:95–7.

    PubMed  Google Scholar 

  32. Smego RA Jr. Actinomycosis of the central nervous system. Rev Infect Dis 1987;9:855–65.

    PubMed  Google Scholar 

  33. Winking M, Deinsberger W, Schindler C, Joedicke A, Boeker DK. Cerebral manifestation of an actinomycosis infection: a case report. J Neurosurg Sci 1996;40:145–8.

    PubMed  Google Scholar 

  34. Legum LL, Greer KE, Glessner SF. Disseminated actinomycosis. South Med J 1978;71:463–5.

    PubMed  Google Scholar 

  35. Slack JM, Genescser MA. Actinomyces, filamentous bacteria. Minneapolis: Burgess, 1975.

    Google Scholar 

  36. Ha HK, Lee HJ, Kim H,et al. Abdominal actinomyces: CT findings in 10 patients. AJR Am J Roentgenol 1993;161:791–4.

    PubMed  Google Scholar 

  37. Chan YL, Cheng CS, Ng PW. Mesenteric actinomycosis. Abdom Imaging 1993;18:286–7.

    PubMed  Google Scholar 

  38. Goldwag S, Abbitt PL, Watts B. Case report: percutaneous drainage of periappendiceal actinomycosis. Clin Radiol 1991;44:422–4.

    PubMed  Google Scholar 

  39. Lavy A, Militianu D, Eidelman S. Diseases of the intestine mimicking Crohn's disease. J Clin Gastroenterol 1992;15:17–23.

    PubMed  Google Scholar 

  40. Nichols DR, Harrell WE. Penicillin in the treatment of actinomycosis [abstract]. J Lab Clin Med 1947;32:1405.

    Google Scholar 

  41. Schlech WF, Gelfand M, Alper B,et al. Medical management of visceral actinomycosis. Southern Med J 1983;76:921–2.

    Google Scholar 

  42. Edelmann M, Cullman W, Nowak KH,et al. Treatment of abdominothoracic actinomycosis with imipenem. Eur J Clin Microbiol 1987;6:194–5.

    PubMed  Google Scholar 

  43. Alvardo-Cerna R, Bracho-Riquelme R. Actinomycosis—a complication of a fistula-in-ano. Report of a case. Dis Colon Rectum 1994;37:378–80.

    PubMed  Google Scholar 

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de Feiter, P.W., Soeters, P.B. Gastrointestinal actinomycosis: an unusual presentation with obstructive uropathy. Dis Colon Rectum 44, 1521–1525 (2001). https://doi.org/10.1007/BF02234610

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