Kura Mahendra M, Rane Vrushali K
Department of Dermatology, Venereology and Leprosy, Grant Medical College and Sir J J Group of Hospitals, Mumbai, India .
Indian J Dermatol. 2011 May;56(3):321-3. doi: 10.4103/0019-5154.82493.
Primary cutaneous actinomycosis caused by Actinomyces israelii occurs most commonly in the cervicofacial area. It commonly presents as "lumpy jaw" with draining sinuses which discharge the characteristic "sulfur granules". A low index of suspicion and a low sensitivity in culturing the organism, due to its fastidious nature often delays the diagnosis. An atypical clinical presentation mimicking lymphangioma circumscriptum with grouped papulovesicular and nodular lesions along the lower jaw extending from skin to the inner buccal mucosa, confirmed on histology and an excellent therapeutic response to penicillin is reported.
由以色列放线菌引起的原发性皮肤放线菌病最常见于颈面部区域。它通常表现为“结块性颌部”，伴有引流窦道，排出特征性的“硫磺颗粒”。由于该菌苛求的特性，临床怀疑指数低且培养该菌的敏感性低，常常延误诊断。本文报道了一例非典型临床表现，表现为沿下颌从皮肤延伸至颊内侧黏膜的成簇丘疹水疱性和结节性损害，类似局限性淋巴管瘤，经组织学确诊，且对青霉素治疗反应良好。
