Khafagy Richard, Jundi Omar, Rogawski Karol, Namasiviyam Siva
Department of Urology, Calderdale Royal Hospital, West Yorkshire, Halifax HX3 0PW, UK.
Case Rep Nephrol. 2011;2011:186708. doi: 10.1155/2011/186708. Epub 2011 Jul 10.
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.
放线菌是一种革兰氏阳性丝状细菌，通常定殖于粘膜区域。盆腔放线菌病是由以色列放线菌引起的一种慢性肉芽肿性疾病，在发病时常常酷似卵巢肿瘤。大多数病例是在手术后确诊的。静脉注射青霉素是最常用的治疗药物，治疗期间需要住院长达一个月。盆腔放线菌病是输尿管梗阻和肾衰竭的罕见病因。最终诊断通常很困难，往往只有在对手术标本进行组织学检查后才会明确。本病例促使我们思考其病因和临床发现，并回顾涉及输尿管梗阻的报告病例的处理方法。
