Abstract

Actinomycosis caused by Actinomyces spp. is a chronic, progressive, suppurative and granulomatous bacterial infection. The general sites of infection are the head and neck, thorax and abdomen. Primary actinomycosis infection both on the knee and the ankle is uncommon. We report a very rare case of actinomycosis of the knee and ankle joint that was diagnosed and successfully treated with surgical resection and long-term antibiotic therapy.

Highlights

  • Actinomycosis caused by Actinomyces spp. is a chronic, progressive, suppurative and granulomatous bacterial infection which is characterized clinically by multiple abscesses formation, recurrent draining sinuses, chronic fistulae and fibrous tissue formation

  • In this article we report a very rare case of primary extremity actinomycosis presenting as osteomyelitis on both the knee and on the ankle of the left leg

  • A 90-year-old female presented with a seven month history of progressive, severe pain, swelling with erythema and intermittent discharging sinuses around the left knee and ankle joint

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Summary

Introduction

Actinomycosis caused by Actinomyces spp. is a chronic, progressive, suppurative and granulomatous bacterial infection which is characterized clinically by multiple abscesses formation, recurrent draining sinuses, chronic fistulae and fibrous tissue formation. Primary bone and joint actinomycosis are very rare and usually associated with external trauma, punk injury and local ischemia [1,6,7]. In this article we report a very rare case of primary extremity actinomycosis presenting as osteomyelitis on both the knee and on the ankle of the left leg.

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