Chang Dong-Suk, Jang Won Ik, Jung Ji Yoon, Chung Sarah, Choi Dae Eun, Na Ki-Ryang, Lee Kang Wook, Shin Yong-Tai
Internal Medicine, Chungnam National University Hospital, Daejeon, South Korea.
Clin Nephrol. 2012 Feb;77(2):156-60. doi: 10.5414/CN106885.
Renal actinomycosis is a rare infection caused by fungi of the genus Actinomyces. A 74-year-old male was admitted to our hospital because of gross hematuria with urinary symptoms and intermittent chills. Computed tomography of the abdomen showed thrombosis in the left renal vein and diffuse, heterogeneous enlargement of the left kidney. After nephrectomy, sulfur granules with chronic suppurative inflammation were seen microscopically, and the histopathological diagnosis was renal actinomycosis. Our case is the first report of renal actinomycosis with renal vein thrombosis.
肾放线菌病是一种由放线菌属真菌引起的罕见感染。一名74岁男性因肉眼血尿伴泌尿系统症状及间歇性寒战入住我院。腹部计算机断层扫描显示左肾静脉血栓形成，左肾弥漫性、不均匀肿大。肾切除术后，显微镜下可见含慢性化脓性炎症的硫黄颗粒，组织病理学诊断为肾放线菌病。我们的病例是首例伴有肾静脉血栓形成的肾放线菌病报告。
