Primary cutaneous actinomycosis caused by Actinomyces bovis in a patient with common variable immunodeficiency

Actinomycosis is a chronic, suppurative granulomatous disease caused by the genus Actinomyces. This report is an interesting case of primary cutaneous actinomycosis (PCA) in a patient with common variable immunodeficiency (CVI) affecting the fingernails. The patient was successfully treated with pen...

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Bibliographic Details
Published in:Journal of dermatology 2011-09, Vol.38 (9), p.911-915
Main Authors: MANSOURI, Parvin, FARSHI, Susan, KHOSRAVI, Alireza, NARAGHI, Zahra Safaie
Format: Article
Language:English
Subjects:
Actinomyces
Actinomyces bovis
actinomycosis
Actinomycosis - diagnosis
Actinomycosis - etiology
Actinomycosis - microbiology
Actinomycosis - therapy
Adolescent
common variable immunodeficiency
Common Variable Immunodeficiency - complications
cutaneous actinomycosis
Humans
Male
Skin Diseases, Bacterial - diagnosis
Skin Diseases, Bacterial - etiology
Skin Diseases, Bacterial - microbiology
Skin Diseases, Bacterial - therapy
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Summary:Actinomycosis is a chronic, suppurative granulomatous disease caused by the genus Actinomyces. This report is an interesting case of primary cutaneous actinomycosis (PCA) in a patient with common variable immunodeficiency (CVI) affecting the fingernails. The patient was successfully treated with penicillin G, cefazolin and metronidazole as well as surgical debridement of the infected tissues. In a 4‐year follow‐up period, no recurrence was observed. Primary cutaneous actinomycosis is a rare disease and the diagnosis needs a high index of clinical suspicion with attention to the history of skin implantation of the organism.
ISSN:0385-2407
1346-8138
DOI:10.1111/j.1346-8138.2010.01165.x