Bacteriology Case 4

Presented By Dr Amira Abd El-Fattah

Released on 09-10-2019

Patient Data

62 year old male

Clinical Data

Long history of type 2 DM (More than 35 years)

Anemia of chronic illness

There is Tumefaction of right foot and leg with multiple sinuses for for more than 10 years

Foot ulcer with purulent discharge admixed with granules.

Samples from purulent discharge and smear of crushed granules are sent to microbiology lab.

Case Picture(s) / Photo(s)

Gram Stain

KOH Preparation

Comment / Findings

Gram positive , fine branching filaments (Filamentous Bacteria) with separate spores morphologically similar to Actinomycetoma