title: Facial ulcerations due to Acinetobacter baumannii: Vessel thrombosis with bacterial mycelia.
abstract: A 14-year-old girl presented with a 2-week history of progressive facial ulcerations that did not respond to cephalexin and topical dexamethasone. Biopsy on the ulcer showed rod-shaped bacteria and actinomycetes-like mycelia in the vessel walls and within thrombi. Tissue culture yielded Acinetobacter baumannii, which was resistant to cephalexin. A favourite outcome was achieved with minocycline treatment. This is the first case report of A. baumannii-related vasculitis.
authors.affiliation: Department of Dermatology, Peking University Third Hospital, Beijing, China.
authors.forename: Dong Ming
authors.initials: DM
authors.lastname: Li
authors.affiliation: Department of Dermatology, Peking University Third Hospital, Beijing, China.
authors.forename: Ting Ting
authors.initials: TT
authors.lastname: Sun
keywords: Acinetobacter baumannii; Bacterial infections; Bacterial mycelia; Face destruction; Vasculitis
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