The most important finding of this case demonstrates the spontaneous resolution of a
draining sinus tract after a patient weaned himself off AST and has had no signs of infection over the last 10 years.
At follow-up, she was noted to have a
draining sinus at the distal femur, which was treated with wet-to-dry dressings.
Note the swelling, induration, and
draining sinus tracts in the perineal region in this male patient.
However, the concern arises due to the susceptibility to recurrent infection that may result in a chronic
draining sinus. Infection is a concern with any pilonidal sinus although it is suggested that this is a more common occurrence in sheep shearers with up to six exacerbations in one year.
(2) Uncommonly, the cyst may become secondarily infected, resulting in osteomyelitis with formation of an abscess and
draining sinus to the overlying skin.
of Princess Margaret Hospital for Children for assessment of tooth 41 and the possibility that this was associated with an external
draining sinus on her chin.
Clinically, actinomycosis presents as an insidious-on set, chronic suppurating wound that is characterized by multiple
draining sinus tracts.