Primary Vesical Actinomycosis in a 23-Year-Old ManReport as inadecuate




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Case Reports in Urology - Volume 2014 2014, Article ID 691360, 4 pages -

Case Report

Department of Urology, Faculty of Medicine, Ataturk University, 25240 Erzurum, Turkey

Department of Pathology, Faculty of Medicine, Ataturk University, 25240 Erzurum, Turkey

Received 15 March 2014; Revised 23 May 2014; Accepted 10 June 2014; Published 17 June 2014

Academic Editor: Apul Goel

Copyright © 2014 Tevfik Ziypak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Actinomycosis can affect any organ of the body, although cutaneous fistulas are common in actinomycotic infections, and other organs such as the bladder are only rarely involved. Case Presentation. Herein we report and discuss a young male patient with primary vesical actinomycosis. A 23-year-old man was hospitalized complaining of intermittent gross hematuria over a 6-month duration. The patient underwent a cystoscopic examination under general anesthesia; an edematous, hyperemic, wide-based mass, which protruded from the dome of the bladder, was seen and incompletely resected. The histopathological examination of the material showed Actinomyces organisms surrounded by inflammation and a photomicrograph showed the microorganism. After confirmation of bladder actinomycosis, the patient received penicillin. A CT scan of the abdomen and pelvis showed no evidence of the mass at the postoperative 6th month. Cystoscopic examination showed complete healing of the transurethral resection area at the dome of the bladder. Conclusion. In conclusion, we believe that the gold standard treatment for vesical actinomycosis should include the combination of a transurethral resection of the mass and long-term penicillin treatment.





Author: Tevfik Ziypak, Senol Adanur, Fatih Ozkaya, Muhammet Calık, Ozkan Polat, Yilmaz Aksoy, and Isa Ozbey

Source: https://www.hindawi.com/



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