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Case Reports in Nephrology
Volume 2011 (2011), Article ID 186708, 2 pages
http://dx.doi.org/10.1155/2011/186708
Case Report

Persistent Ureteric Dilatation due to Pelvic Actinomycosis Presenting as Pelvic Inflammatory Disease

Department of Urology, Calderdale Royal Hospital, West Yorkshire, Halifax HX3 0PW, UK

Received 7 May 2011; Accepted 5 June 2011

Academic Editors: A. K. Saxena and W. Sulowicz

Copyright © 2011 Richard Khafagy 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

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.