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Actinomycosis. Surgical aspects.

L F Harris, P R Kakani, C E Selah

    The American Surgeon
    |May 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Actinomycosis is a rare anaerobic infection caused by actinomycetes, often presenting with draining fistulae and sulfur granules. Diagnosis and treatment involve surgery and antimicrobial therapy for cervicofacial, thoracic, abdominal, or pelvic forms.

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    Area of Science:

    • Medical Microbiology
    • Infectious Diseases
    • Surgical Pathology

    Background:

    • Actinomycosis is an infection caused by anaerobic actinomycetes, part of normal oral and intestinal flora.
    • Predisposing factors include prior disease or surgery, leading to indurated tissue and draining fistulae with sulfur granules.

    Observation:

    • Common clinical presentations include cervicofacial, thoracic, and abdominal syndromes.
    • Pelvic actinomycosis is increasingly recognized, particularly in women using intrauterine devices.

    Findings:

    • Diagnosis is typically confirmed during surgery via histological examination of sulfur granules and filamentous gram-positive rods.
    • Differential diagnosis must exclude malignancies and other chronic infections.

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    Implications:

    • Effective management requires prompt diagnosis and a combination of antimicrobial therapy and surgical intervention.
    • Surgical procedures may include incision and drainage, abscess excision, empyema drainage, and sinus removal.