{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T06:26:26Z","timestamp":1765261586679,"version":"3.46.0"},"reference-count":18,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T00:00:00Z","timestamp":1763337600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Actinomycosis is a rare, chronic granulomatous infection caused by anaerobic, filamentous bacteria of the genus Actinomyces, typically involving the cervicofacial, thoracic, or abdominopelvic regions. Scalp involvement is exceptionally rare and frequently misdiagnosed as a neoplastic or tubercular condition. We report the case of a 47\u2010year\u2010old male tandoor worker with a three\u2010year history of recurrent scalp infections who presented with firm, non\u2010tender swellings over the parietal and occipital scalp, complicated by discharging sinus tracts.\n                    <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>\n                    revealed ill\u2010defined subcutaneous lesions with no intracranial extension, raising suspicion for inflammatory or neoplastic pathology. Histopathological analysis of both incisional and excisional biopsies revealed basophilic bacterial colonies with radiating filaments surrounded by neutrophils\u2014findings consistent with actinomycosis. Microbiological cultures and species\u2010level identification were not performed due to resource limitations. The patient underwent wide surgical excision followed by transposition flap reconstruction and completed a one\u2010month course of oral doxycycline and amoxicillin\u2010clavulanate. Recovery was uneventful, and no recurrence was observed on follow\u2010up. This case highlights the importance of considering actinomycosis in the differential diagnosis of chronic scalp lesions and underscores the diagnostic value of histopathology in resource\u2010constrained settings and highlights the importance of surgical management in achieving optimal clinical outcomes.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.71495","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T04:25:46Z","timestamp":1763439946000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Scalp Actinomycosis Presenting as Chronic Discharging Sinuses: A Rare Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0627-2521","authenticated-orcid":false,"given":"Muhammad Umar","family":"Ahsan","sequence":"first","affiliation":[{"name":"D. G. Khan Medical College  Dera Ghazi Khan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7282-5559","authenticated-orcid":false,"given":"Muhammad","family":"Saeed","sequence":"additional","affiliation":[{"name":"D. G. Khan Medical College  Dera Ghazi Khan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hafiz Arslan","family":"Mahmood","sequence":"additional","affiliation":[{"name":"Allama Iqbal Teaching Hospital  Dera Ghazi Khan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nisar","family":"Ahmed","sequence":"additional","affiliation":[{"name":"D. G. Khan Medical College  Dera Ghazi Khan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4300-5941","authenticated-orcid":false,"given":"Somaiya","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Sir Salimullah Medical College  Dhaka Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arooj","family":"Khan","sequence":"additional","affiliation":[{"name":"Allama Iqbal Teaching Hospital  Dera Ghazi Khan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saba","family":"Shaheen","sequence":"additional","affiliation":[{"name":"Allama Iqbal Teaching Hospital  Dera Ghazi Khan Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,17]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.41204"},{"volume-title":"StatPearls [Internet]","year":"2025","author":"Sharma S.","key":"e_1_2_14_3_1"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1259\/dmfr\/61817095"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12879\u2010022\u201007282\u2010w"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2021.1945354"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1097\u20100347(199905)21:3<264::aid\u2010hed12>3.0.co;2\u2010y"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d6099"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11547\u2010019\u201001060\u20106"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.2017160112"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.4236\/crcm.2021.102005"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.5070\/D327754367"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/ams.ams_176_18"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/dj7030085"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/IPC.0b013e31815c5e95"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.19124"},{"issue":"2","key":"e_1_2_14_17_1","first-page":"116","article-title":"Cervicofacial Actinomycosis: Still a Difficult Differential Diagnosis","volume":"25","author":"Volante M.","year":"2005","journal-title":"Acta Otorhinolaryngologica Italica"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.2147\/IDR.S39601"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/03000605241275375"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71495","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T05:51:58Z","timestamp":1765259518000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71495"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":18,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/ccr3.71495"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71495","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"2025-09-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71495"}}