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Page 71
Journal of Infectious Diseases and Treatment
ISSN: 2472-1093
7
t h
E u r o s c i c o n C o n f e r e n c e o n
Clinical Pathology
and Epidemiology
F e b r u a r y 2 7 - 2 8 , 2 0 1 9
P r a g u e , C z e c h R e p u b l i c
Clinical Pathology & Epidemiology 2019
A
ctinomyces
species are non-spore forming Gram-positive bacilli. They are part of human/animals’ micro-flora and are also
among soil inhabitants. Actinomycosis is an opportunistic, indolent, slow growing, chronic progressive and granulomatous
infection caused primarily by
Actinomyces israelii
. Less than 100 cases of
Actinomyces nueii
isolates have been reported in the
literature. Our case is a 47-year-old man who recognized two painless nodules in his scrotum six months after military training.
He did not reveal his problem. Ten years later, both lesions got inflamed and ruptured. He had been treated empirically. About
15 years later, the inflammation reappeared along with general sign and symptoms of acute disseminated infectious disease.
In microbiological examination,
Actinomyces neuii
was isolated from purulent aspirate of scrotal lesions. Along with surgical
drainage of abscess, he was treated with antibiotics. Physicians must remember that chronic, not purulent lesions of
Actinomyces
may be misdiagnosed with malignancies, too. Some patients like our case may ignore mild sexual disease for its anatomic site.
This ignorance may lead to a severe infection.
nasimeftekhari180@gmail.comA long-term chronic scrotal actinomycosis in a
middle-aged patient in Kerman: a case report
Nasim Eftekhari
1
and Mehdi Khaleghinia
2
1
Islamic Azad University-Kerman branch, Iran
2
Razie Firoz Hospital, Iran
J Infec Dis Treat 2019, Volume: 5
DOI: 10.21767/2472-1093-C1-009