Unusual Behavior of a Posttraumatic Scar: Craniofacial Actinomycosis.
Actinomycosis is a chronic suppurative granulomatous infection most commonly involving the cervicofacial region. Clinical diagnosis is usually difficult, and fine-needle aspiration cytology or imaging studies are usually unhelpful in diagnosing actinomycosis. Definitive diagnosis is based on the histopathological examination of a tissue biopsy. The authors report a case of a 32-year-old healthy man who underwent multiple surgeries over a period of 7 years to correct a posttraumatic scar on his forehead with unusual behavior. Final diagnosis was made by tissue biopsy. Scar was excised and penicillin was administered for 1 month postoperatively; after a 12-month follow-up, the wound was fully healed with minimal scarring and no recurrence.
Division of Plastic Surgery, Sir Gangaram Hospital, New Delhi, India.
Ritesh
R
Panda
Division of Plastic Surgery, Sir Gangaram Hospital, New Delhi, India.
Vivek
V
Kumar
Division of Plastic Surgery, Sir Gangaram Hospital, New Delhi, India.
Shiv Shankar
SS
Saha
Division of Plastic Surgery, Sir Gangaram Hospital, New Delhi, India.
Lalit
L
Choudhary
Division of Plastic Surgery, Sir Gangaram Hospital, New Delhi, India.
Anurag
A
Pandey
D000197:Actinomycosis, Cervicofacial / Q000188:drug therapy / Q000473:pathology*; D000284:Administration, Oral; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D044963:Biopsy, Fine-Needle; D002921:Cicatrix / Q000382:microbiology / Q000473:pathology*; D005546:Forehead / Q000473:pathology*; D006801:Humans; D008297:Male; D010400:Penicillin G / Q000008:administration & dosage*; D012008:Recurrence; D016896:Treatment Outcome; D014945:Wound Healing / Q000187:drug effects*
D000900:Anti-Bacterial Agents; D010400:Penicillin G