Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence
Actinomycosis is caused by anaerobic gram-positive bacteria of Actinomyces genus, generally found as commensals in the human body and infection occurs when the immune system is compromised. We present the case of a 35-year-old diabetic woman, who presented with headache and sudden onset of left-side...
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| Format: | Article |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2019-09-01
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| Series: | Indian Journal of Neurosurgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1695082 |
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| author | Kramadhari Harshith Krishnan Nagarajan Andi Sadayandi Ramesh Debasis Gochhait |
| author_facet | Kramadhari Harshith Krishnan Nagarajan Andi Sadayandi Ramesh Debasis Gochhait |
| author_sort | Kramadhari Harshith |
| collection | DOAJ |
| description | Actinomycosis is caused by anaerobic gram-positive bacteria of Actinomyces genus, generally found as commensals in the human body and infection occurs when the immune system is compromised. We present the case of a 35-year-old diabetic woman, who presented with headache and sudden onset of left-sided weakness apart from scalp swelling, which on imaging showed transcalvarial transdural involvement, and subsequent surgical debridement and histopathologic analysis confirmed actinomycosis. Follow-up showed recurrence of the lesion at the same site following a period of remission. Calvarial involvement of actinomycosis is rare and can mimic even neoplastic or malignant lesions, hence requiring prompt diagnosis, treatment with surgery, and long-term antibiotic treatment to prevent complications. |
| format | Article |
| id | doaj-art-d20d154ca1794486878cf513b81d1fa3 |
| institution | OA Journals |
| issn | 2277-954X 2277-9167 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj-art-d20d154ca1794486878cf513b81d1fa32025-08-20T02:04:23ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672019-09-01080318518710.1055/s-0039-1695082Transcalvarial and Transdural Involvement of Skull Actinomycosis with RecurrenceKramadhari Harshith0Krishnan Nagarajan1Andi Sadayandi Ramesh2Debasis Gochhait3Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, IndiaDepartment of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, IndiaDepartment of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, IndiaDepartment of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, IndiaActinomycosis is caused by anaerobic gram-positive bacteria of Actinomyces genus, generally found as commensals in the human body and infection occurs when the immune system is compromised. We present the case of a 35-year-old diabetic woman, who presented with headache and sudden onset of left-sided weakness apart from scalp swelling, which on imaging showed transcalvarial transdural involvement, and subsequent surgical debridement and histopathologic analysis confirmed actinomycosis. Follow-up showed recurrence of the lesion at the same site following a period of remission. Calvarial involvement of actinomycosis is rare and can mimic even neoplastic or malignant lesions, hence requiring prompt diagnosis, treatment with surgery, and long-term antibiotic treatment to prevent complications.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1695082actinomycosistranscalvarial involvementtransdural spreadmagnetic resonance imaginghistopathologic diagnosis |
| spellingShingle | Kramadhari Harshith Krishnan Nagarajan Andi Sadayandi Ramesh Debasis Gochhait Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence Indian Journal of Neurosurgery actinomycosis transcalvarial involvement transdural spread magnetic resonance imaging histopathologic diagnosis |
| title | Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence |
| title_full | Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence |
| title_fullStr | Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence |
| title_full_unstemmed | Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence |
| title_short | Transcalvarial and Transdural Involvement of Skull Actinomycosis with Recurrence |
| title_sort | transcalvarial and transdural involvement of skull actinomycosis with recurrence |
| topic | actinomycosis transcalvarial involvement transdural spread magnetic resonance imaging histopathologic diagnosis |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1695082 |
| work_keys_str_mv | AT kramadhariharshith transcalvarialandtransduralinvolvementofskullactinomycosiswithrecurrence AT krishnannagarajan transcalvarialandtransduralinvolvementofskullactinomycosiswithrecurrence AT andisadayandiramesh transcalvarialandtransduralinvolvementofskullactinomycosiswithrecurrence AT debasisgochhait transcalvarialandtransduralinvolvementofskullactinomycosiswithrecurrence |