Abstract

Actinomycosis is a subacute or chronic suppurative bacterial infection which caused because of filamentous gram-positive, anaerobic to microaerophilic nonacid fast bacilli primarily of the genus Actinomyces that normally colonize the mouth, colon, and vagina. Primary cutaneous actinomycosis is a rare entity and is generally associated with trauma. A 61- year-old Yemeni male firstly presented to the surgical department in King Fahd Central Hospital with multiple swelling, petted lesions and boring of sensation in the right foot. Local examination showed multiple erythematous nodules and plaques with discharge in the right leg, and active sinus was not determined.

Highlights

  • Case ReportFahd Central Hospital with multiple swelling, petted lesions and boring of sensation in the right foot

  • The term actinomycosis was derived from the Greek terms aktino, that refers to the radiating appearance of a sulfur granule, and mykos, which labels the condition a mycotic disease

  • The dermatologist diagnosed the case as actinomyosis and advised the patient to: i) counts was in concern where the results of laboratory complete blood count (CBC) along the five years of following up (Hb%: 12.9, 12.4, 13.0, HCT: 39.9, 38.7, 42.6, RBCs: 4.75, 4.74, 5.19 (×1012 /L), MCH: 27.2, 26.2, 25.0, MCHC: 32.3, 32.0, 30.5, MCV: 84.0, 81.6, 82.1, MPV: 12.2, 11.4, subacute or chronic bacterial infection Itraconazole; ii) Chlorphenamine maleate 4 11.1, RDW: 13.1, 13.5, 13.0, WBCs: 4.54, caused by Gram-positive, anaerobic or mg; iii) Diaminodiphenyl sulfone 100 mg; 5.43, 5.66 (×109 /L) and platelets: 224, 268, microaerophilic bacilli, Actinomyces spp. iv) Betamethasone valerate ointment BID; 274 (×109 /L))

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Summary

Case Report

Fahd Central Hospital with multiple swelling, petted lesions and boring of sensation in the right foot. Jazan; 4Department of Dermatology, King Fahad Central Hospital, Jazan, ly Saudi Arabia on Abstract se Actinomycosis is a subacute or chronic u suppurative bacterial infection which l caused because of filamentous gram-positive, anaerobic to microaerophilic nonacid ia fast bacilli primarily of the genus c Actinomyces that normally colonize the r mouth, colon, and vagina. M year-old Yemeni male firstly presented to the surgical department in King Fahd m Central Hospital with multiple swelling, o petted lesions and boring of sensation in the c right foot. Local examination showed mul- tiple erythematous nodules and plaques n with discharge in the right leg, and active No sinus was not determined. The dermatology specialist advised the patient for pathological and microbiological examination of the skin plaques for a definite diagnosis of our case. The effect of the treatment on hemoglobin level, blood indices and white blood cell

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