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Primary Cutaneous Actinomycosis along with the Surgical Scar on the Hand

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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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Sulfur granules were found at the center of the inflammatory reactions as filamentous basophilic radiating fungal-like structures in the dermis (H&E ∗ 40).
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fig3: Sulfur granules were found at the center of the inflammatory reactions as filamentous basophilic radiating fungal-like structures in the dermis (H&E ∗ 40).

Mentions: The hematological and biochemical laboratory tests were normal. The hand radiography was done and reported as normal. Therefore, he underwent an incisional biopsy of the nodules. Microscopic examination reveals an ulcerated epidermis with underlying neutrophilic microabscesses surrounded by granulation tissues consisting of plasma cell, macrophage, and fibroblast infiltration. Sulfur granules were found at the center of these inflammatory reactions as filamentous basophilic radiating fungal-like structures in the dermis (Figures 2 and 3).


Primary Cutaneous Actinomycosis along with the Surgical Scar on the Hand
Sulfur granules were found at the center of the inflammatory reactions as filamentous basophilic radiating fungal-like structures in the dermis (H&E ∗ 40).
© Copyright Policy
Related In: Results  -  Collection

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

fig3: Sulfur granules were found at the center of the inflammatory reactions as filamentous basophilic radiating fungal-like structures in the dermis (H&E ∗ 40).
Mentions: The hematological and biochemical laboratory tests were normal. The hand radiography was done and reported as normal. Therefore, he underwent an incisional biopsy of the nodules. Microscopic examination reveals an ulcerated epidermis with underlying neutrophilic microabscesses surrounded by granulation tissues consisting of plasma cell, macrophage, and fibroblast infiltration. Sulfur granules were found at the center of these inflammatory reactions as filamentous basophilic radiating fungal-like structures in the dermis (Figures 2 and 3).

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