Atypical inflammation of the soft tissue, most likely caused by Actinomyces infection – a case report 1
Actinomycosis is a very rare cause of inflammation of the labial soft tissue in girls. It is characterised by hard inflammatory infiltrates accompanied by fibrosis, abscesses and fistulas. The non-specific course of the disease makes a correct diagnosis difficult. In this paper, we have presented...
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Medical Communications Sp. z o.o.
2016-09-01
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| Series: | Pediatria i Medycyna Rodzinna |
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| Online Access: | http://www.pimr.pl/index.php/issues/2016-vol-12-no-3/atypical-inflammation-of-the-soft-tissue-most-likely-caused-by-actinomyces-infection-a-case-report?aid=988 |
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| author | Beata Jurkiewicz Łukasz Jankowski Joanna Samotyjek Katarzyna Załęska Grzegorz Gut Danuta Rewicka |
| author_facet | Beata Jurkiewicz Łukasz Jankowski Joanna Samotyjek Katarzyna Załęska Grzegorz Gut Danuta Rewicka |
| author_sort | Beata Jurkiewicz |
| collection | DOAJ |
| description | Actinomycosis is a very rare cause of inflammation of the labial soft tissue in girls. It is characterised by hard inflammatory
infiltrates accompanied by fibrosis, abscesses and fistulas. The non-specific course of the disease makes a correct diagnosis
difficult. In this paper, we have presented diagnostic and therapeutic difficulties in the inflammation of the labial soft tissue of probable actinomycotic aetiology in a 7-year-old girl. The patient was hospitalised twice, including three surgical
procedures due to labial tissue inflammation and abscess. Methicyllin-resistant Staphylococcus aureus was cultured from the
abscess content. Systemic antibiotics from six different classes were used; however, no improvement in the local condition
was achieved. The abscess was irrigated with gentamicin solution; steroid ointments and physical therapy were used, but with
no effect. A suspicion of actinomycotic infection was raised due to the chronic course of the disease and poor response
to treatment. Penicillin was administered for a total period of 3 months, resulting in rapid improvement and, ultimately, a complete
recovery of the child. Although the actinomycotic aetiology was not confirmed by cultures or histopathological examination,
the course of the therapy has allowed to suspect Actinomyces infection. |
| first_indexed | 2024-04-13T17:06:37Z |
| format | Article |
| id | doaj.art-e2545ba98b6542a89adb12f250ad985f |
| institution | Directory Open Access Journal |
| issn | 1734-1531 2451-0742 |
| language | English |
| last_indexed | 2024-04-13T17:06:37Z |
| publishDate | 2016-09-01 |
| publisher | Medical Communications Sp. z o.o. |
| record_format | Article |
| series | Pediatria i Medycyna Rodzinna |
| spelling | doaj.art-e2545ba98b6542a89adb12f250ad985f2022-12-22T02:38:27ZengMedical Communications Sp. z o.o.Pediatria i Medycyna Rodzinna1734-15312451-07422016-09-0112333734310.15557/PiMR.2016.0035Atypical inflammation of the soft tissue, most likely caused by Actinomyces infection – a case report 1Beata Jurkiewicz0Łukasz Jankowski1Joanna Samotyjek2Katarzyna Załęska3Grzegorz Gut4Danuta Rewicka5Pope John Paul II State School of Higher Education inBiała Podlaska, Biała Podlaska, PolandDepartment ofPaediatric Surgery, Warsaw Children Memorial Independent Public Complex of Health Care Facilities in Dziekanów Leśny, Dziekanów Leśny, Poland. Head of Department: Professor Beata Jurkiewicz, MD, PhDDepartment ofPaediatric Surgery, Warsaw Children Memorial Independent Public Complex of Health Care Facilities in Dziekanów Leśny, Dziekanów Leśny, Poland. Head of Department: Professor Beata Jurkiewicz, MD, PhDDepartment ofPaediatric Surgery, Warsaw Children Memorial Independent Public Complex of Health Care Facilities in Dziekanów Leśny, Dziekanów Leśny, Poland. Head of Department: Professor Beata Jurkiewicz, MD, PhDDepartment ofPaediatric Surgery, Warsaw Children Memorial Independent Public Complex of Health Care Facilities in Dziekanów Leśny, Dziekanów Leśny, Poland. Head of Department: Professor Beata Jurkiewicz, MD, PhDDepartment ofPaediatric Surgery, Warsaw Children Memorial Independent Public Complex of Health Care Facilities in Dziekanów Leśny, Dziekanów Leśny, Poland. Head of Department: Professor Beata Jurkiewicz, MD, PhDActinomycosis is a very rare cause of inflammation of the labial soft tissue in girls. It is characterised by hard inflammatory infiltrates accompanied by fibrosis, abscesses and fistulas. The non-specific course of the disease makes a correct diagnosis difficult. In this paper, we have presented diagnostic and therapeutic difficulties in the inflammation of the labial soft tissue of probable actinomycotic aetiology in a 7-year-old girl. The patient was hospitalised twice, including three surgical procedures due to labial tissue inflammation and abscess. Methicyllin-resistant Staphylococcus aureus was cultured from the abscess content. Systemic antibiotics from six different classes were used; however, no improvement in the local condition was achieved. The abscess was irrigated with gentamicin solution; steroid ointments and physical therapy were used, but with no effect. A suspicion of actinomycotic infection was raised due to the chronic course of the disease and poor response to treatment. Penicillin was administered for a total period of 3 months, resulting in rapid improvement and, ultimately, a complete recovery of the child. Although the actinomycotic aetiology was not confirmed by cultures or histopathological examination, the course of the therapy has allowed to suspect Actinomyces infection.http://www.pimr.pl/index.php/issues/2016-vol-12-no-3/atypical-inflammation-of-the-soft-tissue-most-likely-caused-by-actinomyces-infection-a-case-report?aid=988actinomycosisantibiotic therapyinflammationabscess |
| spellingShingle | Beata Jurkiewicz Łukasz Jankowski Joanna Samotyjek Katarzyna Załęska Grzegorz Gut Danuta Rewicka Atypical inflammation of the soft tissue, most likely caused by Actinomyces infection – a case report 1 Pediatria i Medycyna Rodzinna actinomycosis antibiotic therapy inflammation abscess |
| title | Atypical inflammation of the soft tissue, most likely caused by Actinomyces infection – a case report 1 |
| title_full | Atypical inflammation of the soft tissue, most likely caused by Actinomyces infection – a case report 1 |
| title_fullStr | Atypical inflammation of the soft tissue, most likely caused by Actinomyces infection – a case report 1 |
| title_full_unstemmed | Atypical inflammation of the soft tissue, most likely caused by Actinomyces infection – a case report 1 |
| title_short | Atypical inflammation of the soft tissue, most likely caused by Actinomyces infection – a case report 1 |
| title_sort | atypical inflammation of the soft tissue most likely caused by actinomyces infection a case report 1 |
| topic | actinomycosis antibiotic therapy inflammation abscess |
| url | http://www.pimr.pl/index.php/issues/2016-vol-12-no-3/atypical-inflammation-of-the-soft-tissue-most-likely-caused-by-actinomyces-infection-a-case-report?aid=988 |
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