Metgud S C
Department of Microbiology, Jawaharlal Nehru Medical College, Belgaum-590 010, Karnataka, India.
Indian J Med Microbiol. 2008 Apr-Jun;26(2):184-6. doi: 10.4103/0255-0857.40540.
Actinomycosis caused by Actinomyces spp. is a chronic and suppurative infection caused by an endogenous gram positive bacterium. The unusual sites of infection are the head and neck, thorax and abdomen and are almost always endogenous in origin. Primary cutaneous actinomycosis is very rare and is usually associated with external trauma and local ischemia. We report a case of a primary cutaneous actinomycosis of the thigh in a 30-year-old man. The patient acquired the infection through an injection wound which progressed to multiple discharging sinuses. Clinical material from the wound demonstrated the presence of Actinomyces in smears and cultures. The patient was diagnosed and successfully treated with surgical resection and combined antibiotic therapy.
放线菌属引起的放线菌病是一种由内源性革兰氏阳性细菌引起的慢性化脓性感染。不寻常的感染部位是头颈部、胸部和腹部，几乎总是内源性起源。原发性皮肤放线菌病非常罕见，通常与外部创伤和局部缺血有关。我们报告一例30岁男性大腿原发性皮肤放线菌病病例。患者通过注射伤口感染，发展为多个有分泌物的窦道。伤口的临床材料在涂片和培养物中显示有放线菌存在。患者经手术切除和联合抗生素治疗后被诊断并成功治愈。
