Actinomyces israelii May Produce Vulvar Lesions
       Suspicious for Malignancy

McElroy, Jennifer Y.; Gorens, Marsha E.; Jackson, Lisa N.; Stigger, Danielle; Becker, Teresa; Sheiner, Eyal

doi:https://doi.org/10.1155/IDOG/2006/48269

Infectious Diseases in Obstetrics and Gynecology

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Gynecology Case Report | Open Access

Volume 2006 | Article ID 048269 | https://doi.org/10.1155/IDOG/2006/48269

Actinomyces israelii May Produce Vulvar Lesions Suspicious for Malignancy

Jennifer Y. McElroy,¹Marsha E. Gorens,¹Lisa N. Jackson,¹Danielle Stigger,¹Teresa Becker,¹and Eyal Sheiner¹

Received27 Nov 2005

Accepted02 Feb 2006

Published05 Apr 2006

Abstract

Background. We present a case of Actinomyces israelii causing vulvar mass suspicious for malignancy in a postmenopausal woman. Case. A 60 year-old woman presented due to a firm, nonmobile, 10 cm vulvar mass, which had been rapidly enlarging for 5 months. The mass was painful, with localized pruritus and sinus tracts oozing of serosanguinous fluid. Biopsy and cultures revealed a ruptured epidermal inclusion cyst containing granulation tissue and Actinomyces israelii. Conclusion. Actinomyces israelii may produce vulvar lesions that are suspicious for malignancy. Thus, biopsies and cultures are both mandatory while evaluating vulvar masses suspicious for malignancy.

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Copyright

Copyright © 2006 Jennifer Y. McElroy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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