Actinomicose em receptor de transplante renal: relato de caso e revisão da literatura

Abstract

Actinomycosis is a rare, infectious, chronic, progressive, granulomatous disease caused in most cases by Gram-positive and anaerobic bacterium Actinomyces israelii. It may resemble other infectious and even neoplastic processes, making it difficult to diagnose and compromise therapeutic success, and may lead to serious complications. The authors report the case of a 54-year-old female, who had undergone renal transplantation 4 years ago, presenting a hypothenar region in her right hand. He undertook investigation with imaging and biopsy tests, with the diagnosis of primary cutaneous actinomycosis. The objective of this study is to discuss a rare pathology and of unusual location in an immunosuppressed patient, emphasizing the importance of early and accurate diagnosis for therapeutic success.