Treatment of cutaneous actinomycosis of the gluteal and sacrococcygeal regions after routine excision of the epithelial-coccygeal passage. Clinical observation

Cutaneous actinomycosis is a rare granulomatous bacterial infection that usually begins in the perianal region. The article describes a clinical case in which a patient came to us with an infected postoperative wound after routine excision of a pilonidal cyst and epithelial coccygeal passage. Our goal is to familiarize surgeons with the diagnosis and treatment of actinomycosis in the absence of clinical manifestations in other areas of the skin, since this issue is not reflected in sufficient detail in the specialized literature. To focus on the importance of visualization before excision of the pilonidal cyst and caution when visualizing granulomas intraoperatively. Based on modern data on surgical and therapeutic treatment of actinomycosis, we performed extensive excision of the edges of the infected wound and the infiltration zone with granulomas, as well as excised the residual epithelial passage. The postoperative period was uneventful. There was no recurrence of the disease in the patient within 12 months after the operation.