Cervicofacial Actinomyces viscosus infection in a Brazilian fila: a case report and literature review.
A five-month-old, male Brazilian fila presented with a three-day history of a focal swelling in the left superior palpebra and a focal, subcutaneous swelling over the dorsal cervical region. Both lesions initially responded to warm compresses and a two-week course of oral amoxicillin-clavulanic acid therapy. The eyelid swelling recurred after discontinuation of the oral antibiotic therapy. The lesion was progressive and was refractory to trimethoprim-sulfadiazine therapy. Culture and sensitivity performed from a surgical biopsy sample of the eyelid mass identified Actinomyces viscosus and other bacterial genera. A combination of surgical debulkment, Penrose drain placement, and a one-month course of oral oxacillin therapy has resulted in clinical regression of the lesion at a six-month postoperative evaluation.
Donohue
D E
DE
Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan 66506, USA.
Brightman
A H
AH
D016924:Actinomyces viscosus; D000196:Actinomycosis / Q000473:pathology / Q000628:therapy / Q000662:veterinary*; D000284:Administration, Oral; D000658:Amoxicillin / Q000008:administration & dosage / Q000627:therapeutic use; D019980:Amoxicillin-Potassium Clavulanate Combination; D000818:Animals; D001707:Biopsy, Needle / Q000662:veterinary; D002969:Clavulanic Acids / Q000008:administration & dosage / Q000627:therapeutic use; D003646:Debridement / Q000662:veterinary; D004283:Dog Diseases / Q000382:microbiology / Q000473:pathology / Q000628:therapy*; D004285:Dogs; D004322:Drainage / Q000662:veterinary; D004359:Drug Therapy, Combination / Q000008:administration & dosage / Q000627:therapeutic use; D005141:Eyelid Diseases / Q000382:microbiology / Q000473:pathology / Q000662:veterinary; D005143:Eyelids / Q000473:pathology / Q000601:surgery; D005145:Face / Q000473:pathology*; D008297:Male; D010068:Oxacillin / Q000008:administration & dosage / Q000627:therapeutic use; D010406:Penicillins / Q000008:administration & dosage / Q000627:therapeutic use
D002969:Clavulanic Acids; D010406:Penicillins; D019980:Amoxicillin-Potassium Clavulanate Combination; D000658:Amoxicillin; D010068:Oxacillin