Primary Actinomycosis Of The Gluteal Region

Abstract

Actinomycosis is an indolent, chronic infection caused by microaerophilic, gram positive, non- sporing, slender bacilli of the Actinomyces genus. Ore-facial, abdominal and thoracic locations of infection make up majority of clinical cases. Gluteal or locations of actinomycosis on extremities are rarities. We present here a typical case of actinomycosis of the right gluteal region, without disease in other parts of the body in a nineteen year old female who presented with a three year history of a slowly growing, film lump in the right gluteal region. This case is of interest as it presents the typical history of indolent disease, the characteristic clinical and histopathological findings, and repeated misdiagnosis as a case of tuberculoses.