Disseminated actinomycosis in an immunocompetent patient: A case report

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This case report describes a 58-year-old patient who visited the hospital after an 8-month disease period characterized by multiple skin and soft tissue abscesses associated with an approximately 20-kg weight loss, severe hypoalbuminemia, moderate anemia and polyserositis. Several imaging tests reve...

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Detalles Bibliográficos
Autores: Sandoval-Mallma, Erick, Caballero-Silva, José
Formato: artículo
Fecha de Publicación:2019
Institución:Universidad de San Martín de Porres
Repositorio:Horizonte médico
Lenguaje:español
OAI Identifier:oai:horizontemedico.usmp.edu.pe:article/1077
Enlace del recurso:https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1077
Nivel de acceso:acceso abierto
Materia:Actinomycosis
Suppuration
Skin
Actinomicosis
Supuración
Piel
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spelling Disseminated actinomycosis in an immunocompetent patient: A case reportActinomicosis diseminada en un paciente inmunocompetente: reporte de casoSandoval-Mallma, ErickCaballero-Silva, JoséActinomycosisSuppurationSkinActinomicosisSupuraciónPielThis case report describes a 58-year-old patient who visited the hospital after an 8-month disease period characterized by multiple skin and soft tissue abscesses associated with an approximately 20-kg weight loss, severe hypoalbuminemia, moderate anemia and polyserositis. Several imaging tests revealed abscesses on the left thigh muscle. Additionally, abdomen, pelvis and thorax ultrasounds showed bilateral interstitial nephropathy, ascites and bilateral pleural effusion. The histopathological examination confirmed the diagnosis of actinomycosis. Given the systemic manifestations and diffuse distribution of the abscesses, the case was clinically consistent with disseminated actinomycosis. Therefore, the patient received IV antibiotic treatment with penicillin G sodium for 4 weeks and then with amoxicillin p.o. The patient evolved favorably and exhibited abscess remission.Se reporta el caso de un paciente de 58 años, quien acude al hospital con tiempo de enfermedad de 8 meses caracterizado por múltiples abscesos en piel y tejidos blandos, asociado a pérdida de peso de aproximadamente 20 kg, hipoalbuminemia severa, anemia moderada y poliserositis. Se realizaron diversos estudios de imágenes que evidenciaron colecciones en plano muscular de muslo izquierdo. Además, en la ecografía de abdomen, pelvis y tórax se reportó nefropatía intersticial bilateral, ascitis y derrame pleural bilateral. El estudio histopatológico confirmó el diagnóstico de actinomicosis. Por las manifestaciones sistémicas y la distribución difusa de los abscesos, clínicamente correspondía a un caso de actinomicosis diseminada, por lo que recibió tratamiento antibiótico endovenoso con penicilina G sódica por 4 semanas, y luego, amoxicilina por vía oral. El paciente evolucionó favorablemente y los abscesos remitieron.Universidad de San Martín de Porres. Facultad de Medicina Humana2019-09-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/htmlhttps://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/107710.24265/horizmed.2019.v19n3.13Horizonte Médico (Lima); Vol. 19 No. 3 (2019): July - September; 89-95Horizonte Médico (Lima); Vol. 19 Núm. 3 (2019): Julio - Setiembre; 89-95Horizonte Médico (Lima); v. 19 n. 3 (2019): Julio - Setiembre; 89-952227-35301727-558X10.24265/horizmed.2019.v19n3reponame:Horizonte médicoinstname:Universidad de San Martín de Porresinstacron:USMPspahttps://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1077/637https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1077/667Derechos de autor 2019 Horizonte Médico (Lima)https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:horizontemedico.usmp.edu.pe:article/10772019-10-13T18:40:36Z
dc.title.none.fl_str_mv Disseminated actinomycosis in an immunocompetent patient: A case report
Actinomicosis diseminada en un paciente inmunocompetente: reporte de caso
title Disseminated actinomycosis in an immunocompetent patient: A case report
spellingShingle Disseminated actinomycosis in an immunocompetent patient: A case report
Sandoval-Mallma, Erick
Actinomycosis
Suppuration
Skin
Actinomicosis
Supuración
Piel
title_short Disseminated actinomycosis in an immunocompetent patient: A case report
title_full Disseminated actinomycosis in an immunocompetent patient: A case report
title_fullStr Disseminated actinomycosis in an immunocompetent patient: A case report
title_full_unstemmed Disseminated actinomycosis in an immunocompetent patient: A case report
title_sort Disseminated actinomycosis in an immunocompetent patient: A case report
dc.creator.none.fl_str_mv Sandoval-Mallma, Erick
Caballero-Silva, José
author Sandoval-Mallma, Erick
author_facet Sandoval-Mallma, Erick
Caballero-Silva, José
author_role author
author2 Caballero-Silva, José
author2_role author
dc.subject.none.fl_str_mv Actinomycosis
Suppuration
Skin
Actinomicosis
Supuración
Piel
topic Actinomycosis
Suppuration
Skin
Actinomicosis
Supuración
Piel
description This case report describes a 58-year-old patient who visited the hospital after an 8-month disease period characterized by multiple skin and soft tissue abscesses associated with an approximately 20-kg weight loss, severe hypoalbuminemia, moderate anemia and polyserositis. Several imaging tests revealed abscesses on the left thigh muscle. Additionally, abdomen, pelvis and thorax ultrasounds showed bilateral interstitial nephropathy, ascites and bilateral pleural effusion. The histopathological examination confirmed the diagnosis of actinomycosis. Given the systemic manifestations and diffuse distribution of the abscesses, the case was clinically consistent with disseminated actinomycosis. Therefore, the patient received IV antibiotic treatment with penicillin G sodium for 4 weeks and then with amoxicillin p.o. The patient evolved favorably and exhibited abscess remission.
publishDate 2019
dc.date.none.fl_str_mv 2019-09-15
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1077
10.24265/horizmed.2019.v19n3.13
url https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1077
identifier_str_mv 10.24265/horizmed.2019.v19n3.13
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1077/637
https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/1077/667
dc.rights.none.fl_str_mv Derechos de autor 2019 Horizonte Médico (Lima)
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2019 Horizonte Médico (Lima)
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
text/html
dc.publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
publisher.none.fl_str_mv Universidad de San Martín de Porres. Facultad de Medicina Humana
dc.source.none.fl_str_mv Horizonte Médico (Lima); Vol. 19 No. 3 (2019): July - September; 89-95
Horizonte Médico (Lima); Vol. 19 Núm. 3 (2019): Julio - Setiembre; 89-95
Horizonte Médico (Lima); v. 19 n. 3 (2019): Julio - Setiembre; 89-95
2227-3530
1727-558X
10.24265/horizmed.2019.v19n3
reponame:Horizonte médico
instname:Universidad de San Martín de Porres
instacron:USMP
instname_str Universidad de San Martín de Porres
instacron_str USMP
institution USMP
reponame_str Horizonte médico
collection Horizonte médico
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 13.434648
Disseminated actinomycosis in an immunocompetent patient: A case report
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