Zusammenfassung
Die primäre kutane Aktinomykose ist eine seltene Manifestationsform der Infektion
mit Aktinomyces species. Hier berichten wir den Fall eines 51-jährigen Patienten,
bei dem eine Probeexzision aus dem langsam wachsenden ca. 1,5 × 2,0 cm kutan-subkutanen
Knoten an der linken Wange die Diagnose Aktinomykose ergab. Der Knoten ging von der
Dermis aus und hatte keinen Kontakt zu tieferen Weichteilgeweben oder Knochen des
Gesichtes, so dass die Diagnose einer primär-kutanen Aktinomykose gestellt werden
konnte. Abheilung wurde mittels Radikalexzision und anschließend Antibiose (Penicillin
G 20 Mio IE/d über 4 Wochen) erzielt.
Abstract
Primary cutaneous actinomycosis is only occasionally diagnosed. We observed a 51 year
old male patient with a slowly growing, at presentation 1,5 × 2,0 cm measuring, strictly
cutaneous-subcutaneous tumor at the left cheek. After diagnostic tissue biopsy we
treated the tumor by complete excision and consequent antibiosis with penicillin G
for 4 weeks. Since there was no involvement of further soft tissues or bones of the
face we diagnosed a primary cutaneous actinomycosis.
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Priv.-Doz. Dr. I. D. Bassukas
Klinikum Neukölln · Abteilung für Dermatologie und Venerologie ·
Rudower Str. 48 · 12351 Berlin
