Actinomycosis of the ankle joint
Keywords:
Actinomycosis, Ankle Joint, Chronic Synovial İnfection, Cotrimoxazole, Rifampicin
Abstract
We report a case of actinomycosis of the ankle joint with synovial involvement which resisted the usual treatment. Actinomycotic infection of the extremities involving the bone and joints is rare. After the initial diagnosis, our case was treated with ampicillin for six months with no benefit. Instead the condition worsened with the development of tiny pockets of fluid collections within the soft tissue and increased inflammation. Surgical debridement was done to drain the fluid collections and the patient was treated with combined regimen of Cotrimoxazole and Rifampicin with good response clinically and radiologically. Timely intervention and the correct diagnosis saved the limb.References
1. Imamura K, Kamitani H, Nakayasu H, Asai Y, Nakashima K. Purulent meningitis caused by actinomyces successfully treated with rifampicin: a case report. Internal medicine. 2011;50:1121-5
2. Kundu ZS, Bhardwaj G, Sangwan SS, Arora B. Actinomycosis of the knee: a case report. J Orthopaedics Traumatology. 2003;4:133-5
3. Dom K, Pittevils T. Synovial actinomycosis of the hip: case report and review. Acta Orthopaedica and Belgica. 1999;65:242-4
4. Cetin ES, Kaya S, Demirci M, Aridogan BC. Actinomyces meyeri isolation from synovial fluid of a patient with metastatic squamous cell lung carcinoma. Saudi medical journal. 2005;26:1997-9
5. Kundu ZS, Singh R, Rana P, Sangwan SS, Walecha P. Actinomycosis of hand and wrist: a case report. The internet journal of orthopaedic surgery. 2007;5(1)
6. Hay JR, Adriaans B. Bacterial infections. In: Rook/Wilkinson/Ebling, editors. Textbook of dermatology: 6th ed.Oxford: Blackwell science;1998: pp1171-73
7. Rieber H, Schwarz R, Kramer O, Cordier W, Frommelt L.Actinomyces neuii subsp. Neuii associated with periprosthetic infection in total hip arthroplasty as causative agent. Journal of clinical microbiology. 2009;47:4183-4
8. Sowmya S, Raghuveer CV. Role of mast cells in synovial diseases a histopathological study. Indian J of medical sciences. 1996;50:9-12
9. http://emedicine.medscape.com/article/1092133-treatment
10. http://emedicine.medscape.com/article/211587-medication.
2. Kundu ZS, Bhardwaj G, Sangwan SS, Arora B. Actinomycosis of the knee: a case report. J Orthopaedics Traumatology. 2003;4:133-5
3. Dom K, Pittevils T. Synovial actinomycosis of the hip: case report and review. Acta Orthopaedica and Belgica. 1999;65:242-4
4. Cetin ES, Kaya S, Demirci M, Aridogan BC. Actinomyces meyeri isolation from synovial fluid of a patient with metastatic squamous cell lung carcinoma. Saudi medical journal. 2005;26:1997-9
5. Kundu ZS, Singh R, Rana P, Sangwan SS, Walecha P. Actinomycosis of hand and wrist: a case report. The internet journal of orthopaedic surgery. 2007;5(1)
6. Hay JR, Adriaans B. Bacterial infections. In: Rook/Wilkinson/Ebling, editors. Textbook of dermatology: 6th ed.Oxford: Blackwell science;1998: pp1171-73
7. Rieber H, Schwarz R, Kramer O, Cordier W, Frommelt L.Actinomyces neuii subsp. Neuii associated with periprosthetic infection in total hip arthroplasty as causative agent. Journal of clinical microbiology. 2009;47:4183-4
8. Sowmya S, Raghuveer CV. Role of mast cells in synovial diseases a histopathological study. Indian J of medical sciences. 1996;50:9-12
9. http://emedicine.medscape.com/article/1092133-treatment
10. http://emedicine.medscape.com/article/211587-medication.
Published
2014-07-20
Issue
Section
Case Report
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access at http://opcit.eprints.org/oacitation-biblio.html).
