Abstract
Owing to similar clinical presentations, as of cutaneous disease of different etiologies, and extreme rarity in the global incidence; primary cutaneous actinomycosis often remains as diagnostic challenges. Herein, we describe a case of primary cutaneous actinomycosis, erroneously treated as cutaneous tuberculosis, in a patient living with AIDS. On clinical examination, the characteristic lesion, resembling cutaneous tuberculosis, observed on the dorsum of a left leg. No other lesion elsewhere on the body was observed, however. Cytological examinations of the stabbed biopsy were negative for malignant cells; although hyper-keratosis and mild-acanthosis of epidermis, acute inflammatory infiltrates comprising plasma cell, macrophages and neutrophils were observed in the upper and mid dermis. The pus aspirated from lesion grew a molar tooth, adherent colonies in microaerophilic condition. Further, identifications and susceptibility pattern against recommended antibiotics were assessed as per the CLSI (Clinical and Laboratory Standard Institute) guidelines. Subsequently, the case was then, diagnosed as primary cutaneous actinomycosis. Radiographic imaging of abdomen and lungs were normal; no feature of disseminated actinomycosis see...Continue Reading
References
Jun 1, 1991·Oral Surgery, Oral Medicine, and Oral Pathology·K V WatkinsI M Langstein
Dec 1, 1986·Archives of Otolaryngology--head & Neck Surgery·B A YeagerL T Bilaniuk
Jun 1, 1994·Mycoses·R ManfrediF Chiodo
Jul 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·T T Kingdom, T A Tami
Oct 1, 1993·AJR. American Journal of Roentgenology·G M SpencerJ Skucas
Jun 1, 1993·Chest·I CendanW Talavera
Jan 1, 1995·Scandinavian Journal of Infectious Diseases·R ManfrediF Chiodo
Aug 1, 1997·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·A M VazquezA Salavert
Aug 8, 1998·International Journal of STD & AIDS·F SpadariN Fazio
Dec 17, 1998·Journal of Clinical Microbiology·L J SabbeP Vandamme
May 5, 1999·AJR. American Journal of Roentgenology·H I LittE Einhorn
Jun 29, 2000·International Journal of STD & AIDS·S I Chaudhry, J S Greenspan
Jul 5, 2001·The Journal of Dermatology·K SardanaR C Sharma
Oct 30, 2001·Journal of Clinical Microbiology·N SarkonenH Jousimies-Somer
Dec 24, 2002·Dysphagia·Ashoni K AroraBruce Javors
Aug 1, 1964·Journal of Bacteriology·L K GEORGS A BRINKMAN
Jan 17, 2004·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Selvin S Sudhakar, John J Ross
May 1, 2008·Indian Journal of Medical Microbiology·S C Metgud
Jul 30, 2009·Journal of Clinical Pathology·M D'AgostinoD Ghazarian
Apr 13, 2011·Clinical Microbiology Reviews·Fredrick M Abrahamian, Ellie J C Goldstein
Apr 7, 2012·Case Reports in Medicine·Yuria Ablanedo-TerrazasGustavo Reyes-Terán
Mar 20, 2015·Clinical Microbiology Reviews·Eija Könönen, William G Wade
Oct 7, 2015·International Journal of Surgery Case Reports·Murtaza AkhtarSagar M Soitkar
Nov 6, 2015·The Journal of Antimicrobial Chemotherapy·C Steininger, Birgit Willinger
Dec 14, 2016·Case Reports in Infectious Diseases·Reza M RobatiNakisa Niknezhad