Version of Record online: 14 FEB 2008
SKINmed: Dermatology for the Clinician
Volume 7, Issue 1, page 36, January/February 2008
How to Cite
Dlova, N. C. and Mosam, A. (2008), Photo Capsules. SKINmed: Dermatology for the Clinician, 7: 36. doi: 10.1111/j.1540-9740.2007.07668.x
- Issue online: 14 FEB 2008
- Version of Record online: 14 FEB 2008
A 10-year-old boy presented with a 2- to 3-year history of painful nodules on his left foot (Figure 1) and swelling of the left inguinal area (Figure 2 and Figure 3). A swollen foot, nodules, and enlarged regional lymphadenopathy were seen on examination.
Histologic examination revealed granulomatous inflammation with granules and long, branching filaments. Results were gram positive and periodic acid-Schiff negative, in keeping with actinomycosis. Tissue culture also confirmed the diagnosis of actinomycosis.
Cotrimoxazole and dapsone were commenced, and the child is responding well to therapy.