DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20150187

Actinomycotic lid abscess: a rare presentation

Sumita Karandikar, Sangram Karandikar, Tanveer Parvez Shaikh, Sharique Ansari

Abstract


Actinomycosis is a gram positive filamentous branching anaerobic bacilli that Is difficult to Isolate and Identify. We present this case of a 15 year old patient who developed repeated infection over a Contused lacerated wound (CLW) on forehead. Cytology revealed Actinomycosis. He subsequently developed upper eyelid actinomycotic inflammatory swelling. Modified Welsh treatment was started and five months of therapy resulted in complete resolution of the infection. Hence any wound with repeated infection should be examined for Actinomycosis. When identified at the right time, such infections show dramatic response to Modified Welsh Therapy.


Keywords


Actinomycosis, Upper lid swelling, Modified Welsh Therapy, infected CLW

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References


Sullivan TJ, Aylward GW, Wright JE. Actinomycosis of the orbit. Br J Ophthalmol 1992; 76:505-6.

Shah JK (1971) Actinomycosis: a ten year review. East Afr Med J 1971; 48: 496-501.

Karcioglu ZA. Actinomyces infection in porous polyethylene orbital implant. Graefes Arch Clin Exp Ophthalmol 1997; 235: 448-51.

Hegde V, Puthran N, Mahesha S, Anupama B. A rare and an unusually delayed presentation of orbital actinomycosis following avulsion injury of the scalp. Indian J Ophthalmol 2010;58:238-40.

Chakraborty P. A Textbook of Microbiology 2'Ed. New Central book Agency. 2006.

Vrabec MP, Florakis GJ. Actinomyces organisms in ocular disease. in Duane's Ophthalmology on CD -ROM. Philadelphia: Lippincott Williams and Wilkins; 2000.

Pine L, Hardin H. Turner L, Robert S. Actinomycotic lacrimal canaliculitis. Am J Ophthalmology1960; 49:1278.

Praveen Kumar S et al. An unusual presentation of primary cutaneous nocardiosis at a rare site: successful treatment with a modified Welsh regimen. Dermatol Online J. 2011; 17 (12): 1.

Chavez G, Estrada R, Bonifaz A. Perianal actinomycetomas experience of 20 cases. Intl J Dermatology, 2002; 41:491 -3.

Shanbag NU Karandikar S, Deshmukkh PA. Disseminated orbital Actinomycetoma: A Case Report. Indian J Ophthalm ol: 2010;58: 60-63.

Kaliswaran A.V., Senthamilselvi G., janaki C., janaki V .R Therapeutic response in mycetoma - A study of different regimes Indian J Dermatol . 2003; 48(3), 154-59.

Mahajan P.M., Pradhan S.N Belgaumker V.A., Gosavi A.P. et al Modified Welsh regimen: A promising therapy for actinomycetoma. Journal of drugs in dermatology. Sept 2008; 7(9):853-6.