Case Number : Case 20 Posted By: Guest

Phillip McKee - Overseas consultations (USA) Wrote:

For those who thought that it was a sulphur granule in actinomycosis- well done. If there was any doubt a Gram, PAS or silver stain would resolve the problem. The Spledore Hoeppli phenomenon can be high-lighted with a fibrin stain. Many thanks to all of you who participated. I would be grateful for your help if you would encourage your colleagues to also take part in the spot diagnoses and post answers.

Submitted on 07/07/2010 21:49
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Nooshin Brinster - VCU (Richmond, VA) Wrote:

Looks like a sulfur granule!

Submitted on 07/07/2010 21:15
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Rodrigo Restrepo - UPB (Mdlln.Col) Wrote:

Fungal mycetoma

Submitted on 07/07/2010 18:51
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

I had a technical error in my internet connection, this is why I am late today. I think I am seeing a wounderful image of sulfur granules surrounded with Splendore Hoeppli phenomenon. This is Actinomycosis, infection by Actinomyces israelii.

Submitted on 07/07/2010 18:31
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Carlos - (Spain ) Wrote:

Sulphur granules in eumycetoma

Submitted on 07/07/2010 18:03
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Ralph E. - (UK) Wrote:

Botryomycosis - thanks for sharing this image

Submitted on 07/07/2010 18:02
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Lim - (Singapore) Wrote:

Actinomcosis with Splendore Hoeppli phenomenon

Submitted on 07/07/2010 16:56
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Phillip McKee - Overseas consultations (USA) Wrote:

I understand (from a little bird) that quite a few folk visit this site but do not post a comment. This may well be because some people are shy or are worried about giving the wrong answer. Please do post comments whenever you look at a case. It really doesn't matter whether your diagnosis is correct or not. The whole point of the spot diagnosis is to give it a try and post a diagnosis and to make it a fun site. The more people who take part, the better the site will become. In any event, we all get diagnoses wrong and I am sure that one of these days, one of you will be able to show me that I have got the diagnosis wrong!! We can all learn from each other. Please do join in. Phillip

Submitted on 07/07/2010 14:23
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HAE - KCH () Wrote:

Actinomyces infection.

Submitted on 07/07/2010 13:46
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Eduwiges Martínez - Hospital Gea González (Trainee) (Mexico, City) Wrote:

actinomycosis

Submitted on 07/07/2010 07:01
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Eman El-Nabarawy - Dermatology Department,Faculty of Medicine, Cairo university. (Egypt) Wrote:

Sulphur granules in eumycetoma.DD actinomycosis.

Submitted on 07/07/2010 04:49
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