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Facial Ulcerations Due to Acinetobacter Baumannii: Vessel Thrombosis with Bacterial Mycelia

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Journal IDCases
Date 2016 Feb 4
PMID 26839783
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Abstract

A 14-year-old girl presented with a 2-week history of progressive facial ulcerations that did not respond to cephalexin and topical dexamethasone. Biopsy on the ulcer showed rod-shaped bacteria and actinomycetes-like mycelia in the vessel walls and within thrombi. Tissue culture yielded Acinetobacter baumannii, which was resistant to cephalexin. A favourite outcome was achieved with minocycline treatment. This is the first case report of A. baumannii-related vasculitis.

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