Kumar Shiv, Goyal Samriti, Singh Harpal, Kaur Kanwardeep
Department of Pathology, Government Medical College and Hospital, Patiala, Punjab, India.
J Orthop Case Rep. 2022 Jun;12(6):58-61. doi: 10.13107/jocr.2022.v12.i06.2864.
Cutaneous actinomycosis of popliteal fossa is quite unusual, chronic granulomatous disease caused by a group of anaerobic or microaerophilic Gram positive filamentous bacteria that colonize the mouth, colon, and urogenital tract. Actinomycosis of popliteal fossa is rare clinical condition; therefore, recognition of this entity needs high degree of suspicion as the organism is specific internal habitant; primary involvement of extremities is rare.
This case report presents a rare case of actinomycosis of popliteal fossa (left side) in a 40-year-old male patient. The patient complained of presence of a mass with multiple pus oozing sinuses over popliteal fossa. The X-ray of leg revealed presence of foreign body. Histopathological examination of the biopsy from the lesions confirmed diagnosis of cutaneous actinomycosis.
Cutaneous actinomycosis is a disease with great diagnostic challenge and requires high degree of suspicion for the early diagnosis which avoids unnecessary surgery and decreased morbidity and mortality.
腘窝皮肤放线菌病是一种相当罕见的慢性肉芽肿性疾病，由一群定植于口腔、结肠和泌尿生殖道的厌氧或微需氧革兰氏阳性丝状细菌引起。腘窝放线菌病是一种罕见的临床病症；因此，由于该病原体是特定的体内寄居菌，且肢体原发性受累罕见，所以对其识别需要高度怀疑。
本病例报告呈现了一名40岁男性患者罕见的左侧腘窝放线菌病病例。患者主诉腘窝处有一个伴有多个流脓窦道的肿块。腿部X线检查显示有异物。对病变活检组织进行的组织病理学检查确诊为皮肤放线菌病。
皮肤放线菌病是一种诊断极具挑战性的疾病，早期诊断需要高度怀疑，以避免不必要的手术并降低发病率和死亡率。
