A CASE REPORT ON ATYPICAL PRESENTATION OF ACTINOMYCOSIS

Abstract

Actinomycetes israelii is a gram positive bacteria,causing chronic spreading suppurative and granulomatous disease, 1 which forms sulphur granules discharging sinuses. A CASE REPORT : 55 year old female P/W swelling in lower abdomen since 6 months and associated pain, known Diabetic and Hypertensive . O/E - 8x4x2 cms elliptical,rm,mildly tender swelling with illdened margins,smooth surface,skin over the swelling normal , immobile ,becoming prominent on leg raising is palpated in the right iliac fossa , extending partly into the hypogastrium. The clinically palpable mass on TRUCUT biopsy showed collection of acute on chronic inammatory cells and basophilic lamentous bacterial colonies showing Splendore-Hoeppli phenomenon S/O Actinomycosis.Upon Rx with Inj Gentamicin 60mg/IV/TID x 10d and Tab Doxycycline 100mg/BD x 30d ,patient responded with resultant decrease in discharge from the sinus.