Actinomyces meyeri cutaneous actinomycosis.
Actinomyces meyeri cutaneous actinomycosis is a very rare disease. It often results from contiguous dissemination of an underlying focus. We report a case of pulmonary actinomicosis with secondary cutaneous involvement which led to the diagnosis. A 51-year-old man presented with an indurated, erythematous plaque on his right chest wall. He had been diagnosed with pneumoniae one month prior ago and received antibiotic treatment but symptoms persisted. Fibrobroncoscopy was normal and bronchoalveolar lavage samples were negative. The cutaneous plaque evolved with fistulization and drainage of serohematic material with white grains. Actinomyces meyeri was cultured from bacteriologic samples. Ceftriaxone and doxiciclin were administered for a total of 12 months with complete resolution of the clinical condition.
Hermida
María Daniela
MD
Department of Dermatology, Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina. mdhermida@gmail.com
Della Giovanna
Patricia
P
Lapadula
María
M
García
Sandra
S
Cabrera
Hugo Néstor
HN
D000190:Actinomyces / Q000302:isolation & purification*; D000196:Actinomycosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000382:microbiology* / Q000628:therapy; D004322:Drainage; D006801:Humans; D008297:Male; D008875:Middle Aged; D035441:Thoracic Wall / Q000382:microbiology
D000900:Anti-Bacterial Agents