Abstract
Actinomyces is a Gram-positive, filamentous bacterium that normally colonizes mucosal areas. Pelvic actinomycosis is a chronic granulomatous disease caused by Actinomyces israelii that frequently mimics ovarian tumors during presentation. It is diagnosed after surgery in most of the cases. Intravenous penicillin is the most preferred therapeutic agent, and it requires hospitalization up to one month. Pelvic actinomycosis is a rare cause of ureteric obstruction and renal failure. The final diagnosis is usually difficult and often apparent only after histological examination of an operative specimen. The present case led us to consider the etiology and clinical findings and to review the management of reported cases involving ureteric obstruction.
Highlights
Actinomyces is a Gram-positive, filamentous bacterium that normally colonizes mucosal areas
Pelvic actinomycosis is a chronic granulomatous disease caused by Actinomyces israelii that frequently mimics ovarian tumors during presentation
The chronic inflammatory response is able to cross tissue planes, resulting in an appearance often confused with pelvic malignancy
Summary
Actinomyces is a Gram-positive, filamentous bacterium that normally colonizes mucosal areas. Pelvic actinomycosis is a chronic granulomatous disease caused by Actinomyces israelii that frequently mimics ovarian tumors during presentation. Pelvic actinomycosis is a rare cause of ureteric obstruction and renal failure. The present case led us to consider the etiology and clinical findings and to review the management of reported cases involving ureteric obstruction. She subsequently presented in December 2009 with pelvic pain and vaginal discharge suggestive of pelvic inflammatory disease.
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