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Primary actinomycosis of an extremity: a case report and review.

Publication ,  Journal Article
Reiner, SL; Harrelson, JM; Miller, SE; Hill, GB; Gallis, HA
Published in: Rev Infect Dis
1987

Primary infection of an extremity is an uncommon feature of actinomycosis and can readily be confused with actinomycetoma caused by aerobic actinomycetes such as Nocardia and Streptomyces. A case of primary actinomycosis of the leg is reported, and 35 cases published in the English-language literature are reviewed. There were 14 cases of upper extremity infections and 22 cases of lower extremity infections. Antecedent trauma had occurred in 21 cases. Lesions began in the skin, subcutaneous tissue, muscle, bone, and joint space. Spread to contiguous structures was characteristic, and most lesions eventually involved all of the aforementioned structures. The lesions were typical of actinomycosis with sinus formation and granules in the pus. Cultures were positive in 17 cases. Surgical therapy was necessary in most instances; penicillin remains the drug of choice. Pending results of culturing, a lesion with granules of branching gram-positive bacteria would best be treated empirically with penicillin and a sulfonamide. Prognosis is excellent.

Duke Scholars

Published In

Rev Infect Dis

DOI

ISSN

0162-0886

Publication Date

1987

Volume

9

Issue

3

Start / End Page

581 / 589

Location

United States

Related Subject Headings

  • Thigh
  • Middle Aged
  • Male
  • Leg
  • Humans
  • Female
  • Combined Modality Therapy
  • Child
  • Arm
  • Anti-Bacterial Agents
 

Citation

APA
Chicago
ICMJE
MLA
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Reiner, S. L., Harrelson, J. M., Miller, S. E., Hill, G. B., & Gallis, H. A. (1987). Primary actinomycosis of an extremity: a case report and review. Rev Infect Dis, 9(3), 581–589. https://doi.org/10.1093/clinids/9.3.581
Reiner, S. L., J. M. Harrelson, S. E. Miller, G. B. Hill, and H. A. Gallis. “Primary actinomycosis of an extremity: a case report and review.Rev Infect Dis 9, no. 3 (1987): 581–89. https://doi.org/10.1093/clinids/9.3.581.
Reiner SL, Harrelson JM, Miller SE, Hill GB, Gallis HA. Primary actinomycosis of an extremity: a case report and review. Rev Infect Dis. 1987;9(3):581–9.
Reiner, S. L., et al. “Primary actinomycosis of an extremity: a case report and review.Rev Infect Dis, vol. 9, no. 3, 1987, pp. 581–89. Pubmed, doi:10.1093/clinids/9.3.581.
Reiner SL, Harrelson JM, Miller SE, Hill GB, Gallis HA. Primary actinomycosis of an extremity: a case report and review. Rev Infect Dis. 1987;9(3):581–589.

Published In

Rev Infect Dis

DOI

ISSN

0162-0886

Publication Date

1987

Volume

9

Issue

3

Start / End Page

581 / 589

Location

United States

Related Subject Headings

  • Thigh
  • Middle Aged
  • Male
  • Leg
  • Humans
  • Female
  • Combined Modality Therapy
  • Child
  • Arm
  • Anti-Bacterial Agents