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Primary cutaneous actinomycosis caused by Actinomyces bovis in a patient with common variable immunodeficiency
Parvin Mansouri1, Susan Farshi, Alireza Khosravi
1Department of Dermatology, Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Abstract:
Actinomycosis is a chronic, suppurative granulomatous disease caused by the genus Actinomyces. This report is an interesting case of primary cutaneous actinomycosis (PCA) in a patient with common variable immunodeficiency (CVI) affecting the fingernails. The patient was successfully treated with penicillin G, cefazolin and metronidazole as well as surgical debridement of the infected tissues. In a 4-year follow-up period, no recurrence was observed. Primary cutaneous actinomycosis is a rare disease and the diagnosis needs a high index of clinical suspicion with attention to the history of skin implantation of the organism.
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