Actinomicosis renal en adolescente inmunocomprometido
Abstract
Background: actinomycosis is a rare chronic granulomatous disease. Renal involvement is rare and the diagnosis is usually after nephrectomy.
Objective: to present a case suffering from renal actinomycosis in a teenage patient.
Clinical case: caucasian, female, 13-years-old adolescent, who has a previous history of Bronchial Asthma and also immunocompromised. Six months ago she was admitted in the Pediatric Hospital Eduardo Agramonte Piña of Camagüey suffering from Tonsillitis and antimicrobial treatment was imposed with a favorable outcome. A week ago she started with 39 degrees fever, vomiting, general condition and right back lower pain. She was admitted in the Pediatric Hospital again to achieve a proper diagnosis and treatment.
Conclusions: given that Renal Actinomycosis presents as a solid lesion that invades neighboring structures, the usual behavior is frequently confused with neoplastic conditions. Less than 10% of cases are diagnosed before surgery, with complementary tests of little diagnostic value. The definitive diagnosis is based on the histological identification or cultures in anaerobic media of Actinomyces.
DeCS: ACTINOMICOSIS/diagnóstico; NEFRECTOMÍA/utilización; HUÉSPED INMUNOCOMPROMETIDO; INFECCIONES BACTERIANAS; ENFERMEDAD GRANULOMATOSA CRÓNICA.
Downloads
References
1. Aguirrebengoa K, Romaña M, López L, Martín J, Montejo M, González de Zárate P. Actinomicosis orocervicofacial. Presentación de 5 casos. Enferm Infecc Microbiol Clin [Internet]. 2002 [citado 27 Abr 2018];20(2):[aprox. 4 p.]. Disponible en: www.elsevier.es/es-revista-enfermedades-infecciosas-microbiologia-clinica-28-pdf-S0213005X02727419-S300
2. Lentino JR. Actinomicosis - Enfermedades infecciosas - Manual MSD versión para profesionales [Internet]. USA:Merck Sharp&Dohme Corp;2019 [citado 27 Abr 2018]. Disponible en: https://www.msdmanuals.com/es/professional/enfermedades-infeccio sas/bac terias-anaerobias /actinomicosis
3. Galindo JL, Fajardo E, Ojeda P, Carrillo JA. Abscesos hepáticos múltiples y empiema: una presentación inusual de actinomicosis. Rev Infectio [Internet]. 2016 [citado 27 Abr 2018]; 21(1): [aprox. 4 p.]. Disponible en:
www.revistainfectio.org/index.php/infectio/article/download/643/654
4. Bouza Jiménez Y, Morales Blas J, Tartabull Veitía Y. Actinomicosis pulmonar. Presentación de un caso. Medisur [Internet]. Dic 2015 [citado 27 Abr 2018];13(6):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo php?script=sciarttext&pid=S1727-897X2015000600013& lng =es
5. Carlson D, Parodi R, Sicer M, Valenti JL, Greca A. Pielonefritis
xantogranulomatosa y actinomicosis renal. J intramed net [Internet].
2012 [citado 27 Abr 2018];1(1):[aprox. 6 p.]. Disponible en: http://jour nal.intramed.net/index.php/Intramed Journal/article/view/73
6. Belmar Vega L, Rodrigo Calabria E, Gutiérrez Fernández G, Casanova Rituerbo D, Gonzáles Sánchez F J, Armiñanzas Castillo C, et al. Infección por Actinomyces viscosus en trasplantado de riñón-páncreas. Rev Nefrol [Internet]. 2017 [citado 27 Abr 2018];37(4):[aprox. 20 p.]. Disponible en: http://www.revistanefrologia.com/es-publicacion-nefrologia-articulo-infeccion-por-actinomyces-viscosus-trasplantado-rinon-pancreas-S0211699517300164
7. Cabrejos Perotti K, Pascual Gazquez JF, Alfayate Miguelez S, Trujillo
scanio A. Actinomicosis: a propósito de 2 casos clínicos. An Ped [Internet]. Dic 2012 [citado 27 Abr 2018];77(6):[aprox. 11 p.]. Disponible en: http://www.analesdepediatria.org/es-actinomicosis-proposito
2-casos-clinicos-articulo-resumen-S1695403312002500
8. Calvo D, González S, Fernández B, Fernández JA. Actinomicosisosteoarticular y retroperitoneal. A propósito de un caso. Radiología [Internet]. Mar 2004 [citado 27 Abr 2018];46(2):[aprox. 4 p.]. Disponible en: http://www.elsevier.es/es-revista-radiologia-119-articulo-acti nomicosis-osteoarticular-retroperitoneal-a-proposito-13059919
9. Jalón Monzón A, Álvarez Múgica M, Seco Navedo MA, Fernández Gómez JM, Bulnes Vázquez V, González Álvarez RC, et al. A new form of presentation of renal actinomycosis: renal tumor with retroperitoneal bleeding. Arch Esp Urol [Internet]. 2006 Sep [citado 27 May 2018];59(7):[aprox. 4 p.]. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0004-06142006000700018&lng=es
10.Cruz Choappa R, Vieille Oyarzo P. Diagnóstico histológico de actinomicosis. Rev Argent Microbiol [Internet]. 2018 [citado 27 abr 2018];50(1):[aprox. 3 p.]. Disponible en: http://www.elsevier.es/es-revista-revista-argentina-microbiologia-372-articulo-diagnostico-histologico-actinomicosis-S0325754117301074
Published
How to Cite
Issue
Section
License
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/
22 julio 2025