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" Cervicofacial actinomycosis: a long forgotten infectious complication of immunosuppression - report of a case and review of the literature "


Document Type : AL
Record Number : 923690
Doc. No : LA8qf5m8nz
Language of Document : English
Main Entry : Kolm, Isabel; Aceto, Leonardo; Hombach, Michael; Kamarshev, Jivko; Hafner, Jurg; Urosevic-Maiwald, Mirjana
Title & Author : Cervicofacial actinomycosis: a long forgotten infectious complication of immunosuppression - report of a case and review of the literature [Article]\ Kolm, Isabel; Aceto, Leonardo; Hombach, Michael; Kamarshev, Jivko; Hafner, Jurg; Urosevic-Maiwald, Mirjana
Title of Periodical : Dermatology Online Journal
Volume/ Issue Number : 20/5
Date : 2014
Abstract : Actinomycosis is a rare chronic granulomatous infection caused by Gram-positive, non-acid-fast, anaerobic to microaerophilic bacteria.We report a case of cervicofacial actinomycosis in an 86-year-old woman undergoing immunosuppressive therapy with azathioprine and prednisone for rheumatoid arthritis. She underwent a dental treatment several months earlier. The diagnosis of culture-negative actinomycosis was based on histolopathology findings and the isolation of companion bacteria. The patient was treated with amoxicillin-clavulanic acid for 3 months, which produced complete clearance of her cervicofacial actinomycosis.Our case points out the pitfalls of diagnostic procedures in actinomycosis and the ability of this rare disease to mimic other medical conditions.
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