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" Cervicofacial actinomycosis: a long forgotten infectious complication of immunosuppression - report of a case and review of the literature "
Kolm, Isabel; Aceto, Leonardo; Hombach, Michael; Kamarshev, Jivko; Hafner, Jurg; Urosevic-Maiwald, Mirjana
Document Type
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AL
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Record Number
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923690
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Doc. No
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LA8qf5m8nz
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Language of Document
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English
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Main Entry
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Kolm, Isabel; Aceto, Leonardo; Hombach, Michael; Kamarshev, Jivko; Hafner, Jurg; Urosevic-Maiwald, Mirjana
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Title & Author
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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
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Title of Periodical
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Dermatology Online Journal
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Volume/ Issue Number
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20/5
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Date
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2014
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Abstract
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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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