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Cutaneous Fistula Due to Pulmonary Actinomycosis in a Mapuche Girl
Author(s) -
Briceño Gaston,
Guzman Pablo,
Schafer Fabiola
Publication year - 2013
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.12121
Subject(s) - actinomycosis , medicine , actinomyces , ceftriaxone , penicillin , girl , fistula , dermatology , surgery , antibiotics , microbiology and biotechnology , bacteria , biology , genetics
Actinomycosis is a chronic granulomatous disease caused by G ram‐positive anaerobic bacteria of the genus A ctinomyces . Pulmonary actinomycosis is a rare infection in children, and its extension into the chest wall is infrequently reported. We report a case of pulmonary actinomycosis in a 14‐year‐old girl of M apuche descent who presented with chronic respiratory symptoms and multiple discharging skin sinuses on her right lower chest wall. The diagnosis was made by skin biopsy, which showed sulfur granules with actinomyces colonies. She was successfully treated with intravenous ceftriaxone and penicillin G for 6 weeks, followed by oral amoxicillin for 6 months.