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Primary Cutaneous Actinomycosis along with the Surgical Scar on the Hand

View Article: PubMed Central - PubMed

ABSTRACT

Primary cutaneous actinomycosis is a rare clinical form with variable presentation. The tumoral presentation of actinomycosis as pseudocarcinomatous or sarcomatous masses is completely rare. The management of cutaneous actinomycosis needs proper antibiotic treatment and surgical resection would not be adequate alone. Herein, we report a case of primary cutaneous actinomycosis on the dorsal surface of the hand as draining and infiltrated lesions along with the scar of previous tumor excision that had not received proper antibiotics after the surgery.

No MeSH data available.


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Swollen areas at the dorsum of the left hand and tender immobile nodules on the surgical scar.
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fig1: Swollen areas at the dorsum of the left hand and tender immobile nodules on the surgical scar.

Mentions: A 35-year-old man has been referred to our Dermatology Clinic with the complaint of painful firm immobile nodules along with a surgical scar on the dorsum of his hand. There were also pus drainage and ulceration in some part of the scar. He claimed that there was a tumoral swelling at the dorsum of his left hand in the second metacarpal area for 12 months. It had been gradually increased in size and led to the restriction of the movement of the index finger. Therefore, he came to an orthopedic surgeon and underwent a tumor excision operation about six months ago. He completely improved after this surgery and did not follow up any further treatment. Four months after the surgery, some painful immobile ulcerated nodules with low discharge appeared on the way of the surgical scar. He works as an electrical technician but there was no obvious history of trauma or significant medical problem. Physical examination showed swollen areas at the dorsum of the left hand and palpable tender immobile nodules on the surgical scar with low discharge. Some nodules showed ulcerated crusted surface (Figure 1).


Primary Cutaneous Actinomycosis along with the Surgical Scar on the Hand
Swollen areas at the dorsum of the left hand and tender immobile nodules on the surgical scar.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5120197&req=5

fig1: Swollen areas at the dorsum of the left hand and tender immobile nodules on the surgical scar.
Mentions: A 35-year-old man has been referred to our Dermatology Clinic with the complaint of painful firm immobile nodules along with a surgical scar on the dorsum of his hand. There were also pus drainage and ulceration in some part of the scar. He claimed that there was a tumoral swelling at the dorsum of his left hand in the second metacarpal area for 12 months. It had been gradually increased in size and led to the restriction of the movement of the index finger. Therefore, he came to an orthopedic surgeon and underwent a tumor excision operation about six months ago. He completely improved after this surgery and did not follow up any further treatment. Four months after the surgery, some painful immobile ulcerated nodules with low discharge appeared on the way of the surgical scar. He works as an electrical technician but there was no obvious history of trauma or significant medical problem. Physical examination showed swollen areas at the dorsum of the left hand and palpable tender immobile nodules on the surgical scar with low discharge. Some nodules showed ulcerated crusted surface (Figure 1).

View Article: PubMed Central - PubMed

ABSTRACT

Primary cutaneous actinomycosis is a rare clinical form with variable presentation. The tumoral presentation of actinomycosis as pseudocarcinomatous or sarcomatous masses is completely rare. The management of cutaneous actinomycosis needs proper antibiotic treatment and surgical resection would not be adequate alone. Herein, we report a case of primary cutaneous actinomycosis on the dorsal surface of the hand as draining and infiltrated lesions along with the scar of previous tumor excision that had not received proper antibiotics after the surgery.

No MeSH data available.


Related in: MedlinePlus