Primary XXXX of an extremity: a case report and review.

@entity11682 @entity13443 @entity5850 @entity114 @entity281 @entity50 @entity130
@entity281 of an extremity is an uncommon feature of @entity5850 and can readily be confused with @entity13443 caused by aerobic actinomycetes such as Nocardia and Streptomyces. A case of primary @entity5850 of the leg is reported, and 35 cases published in the English-language literature are reviewed. There were 14 cases of @entity281 and 22 cases of @entity281 . Antecedent @entity130 had occurred in 21 cases. Lesions began in the skin, subcutaneous tissue, muscle, bone, and joint space. Spread to contiguous structures was characteristic, and most lesions eventually involved all of the aforementioned structures. The lesions were typical of @entity5850 with @entity50 formation and granules in the pus. Cultures were positive in 17 cases. Surgical therapy was necessary in most instances; @entity114 remains the drug of choice. Pending results of culturing, a lesion with granules of branching gram-positive bacteria would best be treated empirically with @entity114 and a @entity11682 . Prognosis is excellent.
