Mallick S, Klein J F
Service de Chirurgie, Centre Hospitalier André Bouron, Saint-Laurent-du-Maroni, Guyane.
Prog Urol. 2000 Sep;10(4):587-9.
The authors report a case of renal actinomycosis in an adolescent presenting with two fistulized lumbar abscesses. This rare disease, which generally has a good prognosis, is difficult to diagnose, both clinically and radiologically. The positive diagnosis is based on histological examination, more frequently of the nephrectomy operative specimen, than ultrasound-guided fine needle aspiration biopsy of an atypical renal tumour. Conservative treatment with high-dose penicillin gives excellent results.
