Actinomycosis May Be Presented In Unusual Organs: A Report Of Two Cases
Published: December 1, 2009 | DOI: https://doi.org/10.7860/JCDR/2009/.596
GOLSHA R*,NAJAFI L**,REZAEI-SHIRAZI R***,VAKILINEJHAD M****,MORTAZAVI B****, ROSHANDEL G******
*(MD), Infectious Disease Research Center, Golestan University of Medical Sciences.**(MD),ClinicalResearchCenter,Golestan University of Medical Sciences.***(MD), Infectious Disease Research Center, Golestan University of Medical Sciences.**** (PhD), Golestan University of Medical Sciences.*****(MD), Golestan University of Medical Sciences.****** (MD), Golestan Research Center of Gastroenterology and Hepatology, Golestan University of Medical Sciences.
Correspondence
Gholamreza Roshandel,Address: Number 77, Qabooseieh passage, Valiasr street, Gorgan, Golestan province(Iran).E-mail: roshandel_md@yahoo.com
Actinomycosis is a chronic granulomatous suppurative disease characterized by direct extension to the contagious tissue with the formation of multiple drainage sinus tracts through which tiny colonies of organisms called sulfur granules are discharged. Here, we report 2 cases of actinomycosis from Iran. One of them had actinomycosis on the hand and the other on the foot. Samples of tissue biopsy showed sulfur granules associated with colonies of actinomyces, thus confirming the diagnosis in both cases. The response to curettage and penicillin therapy was satisfactory in our patients. The chronic and indolent course of actinomycosis resembles tuberculosis, fungal infection and malignancy. So, increasing awareness among the clinicians and clinical microbiologists will help in the early diagnosis of the disease and in the initiation of early and proper treatment.
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