Actinomycosis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Consider actinomycosis when the patient has chronic progression of disease across tissue planes that is mass-like at times, sinus tract development that may heal and recur, and refractory infection after a typical course of antibiotics.

Symptoms

• Cervicofacial Actinomycosis (55%)

  • Acute painful pyogenic abscess or indolent angle-of-jaw mass

• Thoracic Actinomycosis

  • Lungs
  • Pleura
  • Mediastinum
  • Chest wall (aspiration, extension of cervicofacial disease, transdiaphragmatic or retroperitoneal spread)

    • Clinical picture of tuberculosis (TB) or malignancy

• Abdominal and Pelvic Actinomycosis

  • Following:

    • Penetrating trauma
    • Gut perforation
    • Surgical manipulation

  • Ileocecal predilection

    • Confused with:

      • TB
      • Ameboma
      • Chronic appy
      • Regional enteritis
      • Carcinoma
      • Intrauterine devices (IUD’s)

• Central Nervous System (CNS)

  • Brain abscess
  • Meningitis
  • Meningoencephalitis
  • Subdural empyema

References

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