Actinomycosis surgery: Difference between revisions

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Revision as of 14:05, 30 March 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Surgery is often required for the disease involving chest, abdomen, pelvis, and central nervous system (CNS) area.

Antibiotics are the cornerstone of treatment for actinomycosis. Indications

Surgical options include

@@ Line 5: / Line 5: @@
 [[Surgery]] is often required for the disease involving [[chest]], [[abdomen]], [[pelvis]], and [[central nervous system]] (CNS) area.
 ==Surgery==
-Antibiotics are the cornerstone of treatment for actinomycosis, surgical resection is required for infected tissue in cases, especially if extensive necrotic tissue, sinus tracts, or fistulas are present. Surgery is also indicated if malignancy cannot be excluded or if large abscesses or empyemas cannot be drained by percutaneous aspiration. The need for surgery must be assessed on an individual basis. Surgery may be a valid option for patients who do not respond to medical treatment.
+Antibiotics are the cornerstone of treatment for actinomycosis.
-A retrospective analysis of patients with thoracic actinomycosis showed that surgery cleared the disease in five patients who responded unfavorably to initial antibiotics.
+'''Indications'''
-Surgery may also be used to control symptoms, as in the control of haemoptysis in thoracic actinomycosis.<br>
+*Patients nonresponsive to medical therapy
-Surgical therapy options include
+*Disseminated actinomycosis
+*Failure to exclude malignancy by imaging studies
+*Large abscess that cannot be drained by percutaneous aspiration
+Surgical options include
 *Incision and drainage of abscesses
 *Excision of sinus tracts and recalcitrant fibrotic lesions
 *Decompression of closed-space infections
 ==References==