Peña BYJ, Carmenates ÁBM, Reyes EAD, Fernández GG, Rodríguez AY

Language: Spanish
References: 10
Page: 240-248
PDF size: 466.26 Kb.

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.

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: https://www.elsevier.es/es-revista-enfermedades-infecciosas-microbiologia-clinica-28-pdf-S0213005X02727419-S300 [ Links ]

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 [ Links ]

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: https://www.revistainfectio.org/index.php/infectio/article/download/643/654 [ Links ]

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 [ Links ]

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 [ Links ]

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 [ Links ]

7. Cabrejos Perotti K, Pascual Gazquez JF, Alfayate Miguelez S, Trujilloscanio 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%0d2-casos-clinicos-articulo-resumen-S1695403312002500 [ Links ]

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 [ Links ]

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 [ Links ]

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 [ Links ]