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Titolo:
Misleading diagnosis of retroperitoneal actinomycosis
Autore:
Berchtenbreiter, C; Bruning, R; Auernhammer, A; Reiser, M;
Indirizzi:
Univ Munich, Univ Hosp Grosshadern, Inst Diagnost Radiol, Munich, Germany Univ Munich Munich Germany adern, Inst Diagnost Radiol, Munich, Germany Univ Munich, Univ Hosp Grosshadern, Med Clin 2, D-81377 Munich, Germany Univ Munich Munich Germany D-81377 , Med Clin 2, D-81377 Munich, Germany
Titolo Testata:
EUROPEAN RADIOLOGY
fascicolo: 9, volume: 9, anno: 1999,
pagine: 1869 - 1872
SICI:
0938-7994(1999)9:9<1869:MDORA>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
CT;
Keywords:
actinomycosis; adrenal; misleading diagnosis; MIBG; MRI;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Berchtenbreiter, C Univ Hosp Cologne, Inst Diagnost Radiol, E06,Joseph Stelzmannstr 9, D-50931 Cologne, Germany Univ Hosp Cologne E06,Joseph Stelzmannstr 9 Cologne Germany D-50931
Citazione:
C. Berchtenbreiter et al., "Misleading diagnosis of retroperitoneal actinomycosis", EUR RADIOL, 9(9), 1999, pp. 1869-1872

Abstract

A 34-year-old woman presented with a left-sided suprarenal space-occupyinglesion on sonography. Culture of material obtained during sonographic-guided puncture of the retroperitoneal lesion yielded a mixed flora of Actinomyces and Peptostreptococcus. Initially, a misleading diagnosis of an adrenalpheochromocytoma was initiated by highly positive metaiodobenzylguanidine scintigraphy after chemical chemistry vanillylmandelic acid (VMA) test showed elevated values for adrenaline and its derivatives. Retroperitoneal actinomycosis with yet unproven spread into thoracic and cervical compartments is a particular unusual presentation of an infection with these organisms. Because it may mimic subacute infections of malignant masses in terms of clinical and laboratory findings, radiological diagnosis of this entity may be difficult. The diagnosis was based on results of culture and the responseof the patient to long-term penicillin-derivate therapy after surgical drainage of the suprarenal abscess formation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 09:33:14