Turkish Journal of Geriatrics 2011 , Vol 14, Issue 4
PRIMER CUTANEOUS ACTINOMYCOSIS IN DIABETIC PATIENTS
Cihangir ALİAĞAOĞLU1, Ümran YILDIRIM2, Hülya ALBAYRAK1, Nadir GÖKSUGUR3, Derya ÖZÇELİK4
1Düzce Üniversitesi Tıp Fakültesi Dermatoloji Anabilim Dalı DÜZCE
2Düzce Üniversitesi Tıp Fakültesi Patoloji Anabilim Dalı DÜZCE
3Abant İzzet Baysal Üniversitesi Tıp Fakültesi Dermatoloji Anabilim Dalı BOLU
4Düzce Üniversitesi Tıp Fakültesi Plastik ve Rekonstrüktif Cerrahi Anabilim Dalı DÜZCE Actinomycosis is a chronic suppurative granulomatous infection caused by gram positive bacterium. Enfection especially affects the head, neck, thorax and abdomen. Primary cutaneous involvement is uncommon and has an association with trauma and local ischemia. We present one such case of primary cutaneous actinomycosis on the elbow of a 68 year old man with diabetes and external trauma. This patient was admitted to our clinic with a 10-12cm size blue-purple plaque. Skin biopsy revealed the characteristic 'sulphur granules' of actinomycosis in the deep dermis After the diagnosis, initially he was treated with penisilin and cotrimaxazol with a little effect. Treatment was continued with amoksisilin and cotrimaxazol and he respond to this medical treatment partially. After this medical therapy skin graft operation was performed. Lesions relapsed six months later. Medical therapy was repeated and still continues. Keywords : Actinomycosis/pathology; Actinomycosis/drug therapy; Diabetes Mellitus