Actinomycosis of the urinary bladder

Authors

  • Chun Huang Medical Student, College of Medicine, University of Saskatchewan in Saskatoon
  • Turki Al-Essawi Faculty of Medicine, Division of Urology, University of Manitoba in Winnipeg

DOI:

https://doi.org/10.5489/cuaj.405

Abstract

Actinomycosis of the urinary bladder is a rare anaerobic bacterial infection caused by Actinomyces isrealii. Initial diagnosis is often difficult and this disease is easily misdiagnosed as a urothelial or urachal tumour. The definitive diagnosis is usually made postoperatively via tissue pathology. We discuss a case of a 54-year-old male with a smoking history and a 2.5-week history of gross hematuria. Ultrasound, computed tomography and cystoscopy revealed a large inflammatory mass adherent to the right, anterior bladder wall, suggesting malignancy. Transurethral resection and histological pathology subsequently confirmed inflammatory urothelium and gram-positive bacteria consistent with actinomyces species.

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Published

2013-07-02

How to Cite

Huang, C., & Al-Essawi, T. (2013). Actinomycosis of the urinary bladder. Canadian Urological Association Journal, 7(7-8), E502–4. https://doi.org/10.5489/cuaj.405

Issue

Section

Case Report