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.