Primary Actinomycosis of the Foot in a 37-year-old female Patient: A Case Study and Review of the Literature.
AJTES Vol 6, No 2, July 2022
Xhaferi N et al - Primary Actinomycosis of the Foot in a 37-year old female Patient A Case Study and Review of the Literature.


unusual wounds

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Xhaferi, N., Gavrilovski, A., Jakimova, M., Ukaj, F., Dyla, D., & Ukaj, S. (2022). Primary Actinomycosis of the Foot in a 37-year-old female Patient: A Case Study and Review of the Literature. Albanian Journal of Trauma and Emergency Surgery, 6(2), 1064-1068.



A parasitic disease called actinomycosis occurs when bacteria spread through body tissues, causing abscesses, inflammation, and pain. It affects the skin or deeper parts of the body and can sometimes affect the blood.[1]  The symptoms of actinomycosis may mimic those of other diseases or even neoplasms. Remission and exacerbation of symptoms occurring in parallel sequence with the initiation and cessation of therapy is a phenomenon that should increase suspicion of actinomycosis in any of its manifestations. [2]

Microbiology, histopathology, and MRI revealed the presence of an unusual infectious agent, Actinomyces spp., which is also known as Madura foot [3] This implies a serious difficulty in getting a bactericidal concentration of the effective drug into areas of active infection and seriously questions the possibility of restoring the involved tissues [4, 8]

The diagnosis was confirmed by isolation of the organisms by anaerobic culture giving typical molar tooth colonies. Final confirmation was done by histopathological examination.

Case report; The patient's condition dates back 5 years before the operative treatment when for the first time the patient reported that she was stabbed with a foreign body in the area of ​​the left foot.

The patient was treated at home and in the beginning, did not go to the doctor. She occasionally complained of pain and swelling but the pain was not distressing, with no fever and no swelling of the foot…
Xhaferi N et al - Primary Actinomycosis of the Foot in a 37-year old female Patient A Case Study and Review of the Literature.


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