Abscess-forming retroperitoneal actinomycosis after urogynaecological surgery

Rud, Oleg and May, M. and Brookman-May, S. and Moersler, J. and Rotter, M. and Gilfrich, C. (2010) Abscess-forming retroperitoneal actinomycosis after urogynaecological surgery. UROLOGE, 49 (10). 1283-+. ISSN 1433-0563,

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Abstract

Human actinomycosis is an infrequent chronic infection caused by gram-positive anaerobic bacteria with predominantly cervicofacial and intestinal manifestation. Retroperitoneal abscess formation displays a very rare localisation and is mostly incidentally diagnosed by histological examination. We report on a 44-year-old woman with left-sided flank. pain and retroperitoneal abscess formation diagnosed by CT scan. Case history revealed preceding nephroureterectomy of the left kidney due to loss of kidney function and recurrent ureteral-vaginal fistulas. After CT scan-guided puncture and negative bacterial culture, actinomycosis could only be diagnosed by histopathological examination. Subsequently, besides abscess drainage calculated antibiotic therapeutic regimen was initiated. During the follow-up of 9 months there was no local or systemic recurrence. In the present case report, aetiology, clinical symptoms as well as diagnostic and therapeutic consequences are discussed.

Item Type: Article
Uncontrolled Keywords: DIAGNOSIS; Abscess-forming retroperitoneal actinomycosis; Diagnostics; Therapy; Differential diagnosis
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Urologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Jul 2020 05:57
Last Modified: 13 Jul 2020 05:57
URI: https://pred.uni-regensburg.de/id/eprint/24154

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