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Document Details : Title: Actinomycosis as a rare cause of vertebral osteolysis Author(s): VAN DRIESSCHE K, VAN RANST D, VAN OFFEL J, STEVENS WJ, DE SCHEPPER A, VAN MARCK E, DE CLERCK LS Journal: Acta Clinica Belgica Volume: 58 Issue: 5 Date: 2003 Pages: 296-298 DOI: 10.2143/ACB.58.5.1002759 Abstract : Actinomycosis is an uncommon entity caused by an anaerobic bacterium, Actinomyces species, most often Actinomyces israeliï. We present a patient who suffered from progressive lumbar pain and high fever. Actinomycosis infection was diagnosed after extensive radiological and pathological evaluation. Treatment with IV ampicillin was started, followed by oral antibiotics for one year. This paper gives an overview of the different clinical presentations of actinomycosis infection, with special attention to the skeletal involvement. We also discuss diagnosis and treatment. The clinical picture can mimic several other conditions, such as lymphomas. Delay in diagnosis and treatment can significantly worsen the condition of the patient. |
