Publication details
Primárna kožná aktinomykóza u dvoch pacientov liečená klindamycínom
| Title in English | Primary cutaneous actinomycosis in two patients treated with clindamycin |
|---|---|
| Authors | |
| Year of publication | 2009 |
| Type | Article in Periodical |
| Magazine / Source | Česko-slovenská dermatologie |
| MU Faculty or unit | |
| Citation | |
| Field | Dermatovenerology |
| Keywords | cutaneous actinomycosis; treatment; clindamycin; doxycycline |
| Description | Actinomycosis is a granulomatous suppurative bacterial disease caused by anaerobic bacteria Actinomyces israeli presented primarily as the cervico-facial, thoracic, abdominal or pelvic form. Primary cutaneous actinomycosis is very rare and it is usually associated with external trauma and/or local ischemia. We report two cases of a primary cutaneous actinomycosis of the hand with similar clinical history and presentation. The first case describes an 81-year-old man with post-traumatic lesion on the dorsal part of the right hand. The second patient, 51-year-old man had a pustular lesion in the same area, also developed post-traumatically. In both cases the diagnosis was established by culture, in the first case microscopy was positive, too. The first patient completely healed after a 4-month course of treatment with clindamycin, in the second case the clindamycin therapy was not sufficient and the treatment continued by 3 months of doxycycline administration with excellent result. |