Pulmonary actinomycosis and skin sinuses.
A 12-year old girl presented with an unusual problem of recurrent discharging multiple skin sinuses on her right anterior and posterior chest wall for a year. There was ipsilateral lower lobe pneumonia and imaging showed multiple abscesses in her lower back muscles bilaterally. A purulent fluid was aspirated from her back muscles and the histology examination showed sulphur granules with gram positive branched filaments. She responded well to the treatment for actinomycosis with penicillin and doxycycline.
Lee
Jimmy Kok Foo
JK
Department of Paediatrics, Kuala Terengganu Hospital, Jalan Sultan Mahmud, Kuala Terengganu, Malaysia. leekokfoo@yahoo.com
D000196:Actinomycosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D001992:Bronchoalveolar Lavage Fluid; D002648:Child; D004318:Doxycycline / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008171:Lung Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D008296:Malaysia; D018482:Muscle, Skeletal / Q000473:pathology; D010406:Penicillins / Q000627:therapeutic use; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D012883:Skin Ulcer / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
D010406:Penicillins; D004318:Doxycycline