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- Primary cutaneous actinomycosis caused by Actinomyces meyeri as first manifestation of HIV infectionPublication . Gomes, J; Pereira, T; Carvalho, A; Brito, CPrimary cutaneous actinomycosis is very uncommon. We report a patient with cutaneous actinomycosis with multiple lesions without any detectable extra-cutaneous lesions. In our patient the actinomycosis was the presenting manifestation of HIV infection.