Primary Cutaneous Actinomycosis Mimicking Cutaneous Leishmaniasis

Autor: Ratnakar R. Kamath, Mahendra M. Kura, Rituparna Basumatary
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Indian Dermatology Online Journal, Vol 15, Iss 3, Pp 496-499 (2023)
Druh dokumentu: article
ISSN: 2229-5178
2249-5673
DOI: 10.4103/idoj.idoj_276_23
Popis: Actinomycosis is a chronic suppurative bacterial infection commonly seen in the tropics, caused by gram-positive, anaerobic bacilli of the genus Actinomyces. There are very few reported cases of primary cutaneous actinomycosis. It can mimic mycetoma, tuberculosis, nocardiosis, and botryomycosis. A high index of clinical suspicion is required for diagnosis in the absence of sinuses. Even with repeated attempts, cultures are mostly negative; and hence, histology reveals the diagnosis in most cases. Here, we report an unusual case of primary cutaneous actinomycosis in a 21-year-old female patient, following a road traffic accident (RTA). A positive Splendore–Hoeppli phenomenon and special stains demonstrated the ray fungus and helped us reach the diagnosis. The patient was started on oral penicillin G and showed good response.
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