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An Unusual Presentation of Metastatic Actinomycosis: A case report

We report a case of a 49-year-old man presenting with a history of painful swollen leg, due to a solitary metastatic deposit in the tibia. After investigation, it was found to be secondary to infection with Actinomycosis israelii, which is normally a commensal of the oral and buccal cavity. Actinomycosis israelii is the predominant organism causing infectious disease in humans3 and although soft tissue infections are well documented, osseous involvement is very rare.