BMC Infectious Diseases | |
Musculoskeletal actinomycosis in children: a case report | |
Lihua Zhao1  Qin Jiao1  Xiaolu Li2  Yani Mou2  Yongmei Xiao2  Ting Zhang3  Yizhong Wang3  | |
[1] Department of Orthopedics, Shanghai Children’s Hospital, Shanghai Jiao Tong University, Shanghai, China;Institute of Pediatric Infection, Immunity and Critical Care Medicine, Shanghai Children’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Institute of Pediatric Infection, Immunity and Critical Care Medicine, Shanghai Children’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China;Department of Gastroenterology, Hepatology and Nutrition, Shanghai Children’s Hospital, Shanghai Jiao Tong University, Shanghai, China; | |
关键词: Actinomycosis; Actinomyces; Children; Ampicillin; | |
DOI : 10.1186/s12879-021-06890-2 | |
来源: Springer | |
【 摘 要 】
BackgroundActinomycosis is a rare infectious disease caused by Actinomyces, especially in children. Here, we present a case of musculoskeletal actinomycosis in a 5-year-old girl from China.Case presentationA 5-year-old girl presented with recurrent episodes of fever, pain, erythema, swelling, and festering sores on the right lower extremity, and pus was discharged from a sinus in the right foot. Magnetic resonance imaging (MRI) suggested subcutaneous soft tissue infection and osteomyelitis of the right crus. A bacterial culture of pus extracted from a festering sore on the right popliteal fossa detected the growth of Actinomycetes europaeus. The patient was cured with 7 weeks of treatment with intravenous ampicillin-sulbactam, followed by 6 weeks of treatment with oral amoxicillin-clavulanate with surgical debridement and drainage. There were no symptoms of recurrence during the 15-month period of follow-up.ConclusionsPediatric actinomycosis is a rare and challenging infectious disease. Early accurate diagnosis and optimal surgical debridement are important for the management of pediatric actinomycosis.
【 授权许可】
CC BY
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
RO202203046337962ZK.pdf | 1339KB | download |