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Lumbosacral actinomycosis in an immunocompetent individual: An extremely rare case
V R Patil1, A R Joshi1, S S Joshi1
1Department of Pathology, Shrimati Kashibai Navale Medical College, Pune, Maharashtra, India.
Abstract:
Actinomycosis is a gram positive commensal bacteria. In predisposed individuals like immunocompromised patients, it can cause myriad lesions involving virtually any organ of the body. Involvement of spinal cord with its compression is rare though. We are reporting here a case of 30-year-old immunocompetent male who presented with weakness of left lower limb. Radiologically differential diagnosis was tuberculosis or lymphoma of spinal cord. Histopathology showed actinomycotic colonies that were periodic Schiff (PAS) positive and revealed gram positive filamentous bacteria.
Insights
Actinomycosis, a rare bacterial infection, can affect the spinal cord, even in healthy individuals. This case highlights a 30-year-old male with spinal actinomycosis presenting as lower limb weakness, mimicking other serious conditions.
Area of Science:
- Infectious Diseases
- Neurology
- Pathology
Background:
- Actinomycosis is caused by gram-positive, commensal bacteria that can lead to widespread lesions in immunocompromised individuals.
- Spinal cord involvement, though uncommon, can occur and present with significant neurological deficits.
- Differentiating spinal actinomycosis from other pathologies like tuberculosis or lymphoma is crucial for appropriate management.
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