Bacteriology case 6
Bacteriology case 6
Presented By Dr Amira A. Soliman
Released on 19-04-202138 year old male
No medical history of chronic disease (Medically free)
Complain: Recurrent discharging swelling in the right foot increasing gradually over 1 year. Swelling is not associated with fever or weight loss
Examination: Generally patient looks well and clinically stable.
Right foot examination: Swelling with sinuses have bloody and purulent discharge associated with white granules.
Crushed granules are sent to the microbiology lab for gram stain and KOH examination.
Gram stain (1st panel): Filamentous branched gram positive bacteria - non acid fast.
KOH Preparation (2nd panel): Fine branching filaments, unstained with lactophenol cotton blue.
Actinomycetoma