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==Symptoms ==
==Symptoms ==
Symptoms of actinomycosis include :<ref name="pmid27311002">{{cite journal |vauthors=Bonnefond S, Catroux M, Melenotte C, Karkowski L, Rolland L, Trouillier S, Raffray L |title=Clinical features of actinomycosis: A retrospective, multicenter study of 28 cases of miscellaneous presentations |journal=Medicine (Baltimore) |volume=95 |issue=24 |pages=e3923 |year=2016 |pmid=27311002 |pmc=4998488 |doi=10.1097/MD.0000000000003923 |url=}}</ref><ref name="pmid21738348">{{cite journal |vauthors=Sung HY, Lee IS, Kim SI, Jung SE, Kim SW, Kim SY, Chung MK, Kim WC, Oh ST, Kang WK |title=Clinical features of abdominal actinomycosis: a 15-year experience of a single institute |journal=J. Korean Med. Sci. |volume=26 |issue=7 |pages=932–7 |year=2011 |pmid=21738348 |pmc=3124725 |doi=10.3346/jkms.2011.26.7.932 |url=}}</ref><ref name="pmid19718405">{{cite journal |vauthors=Choi MM, Baek JH, Beak JH, Lee JN, Park S, Lee WS |title=Clinical features of abdominopelvic actinomycosis: report of twenty cases and literature review |journal=Yonsei Med. J. |volume=50 |issue=4 |pages=555–9 |year=2009 |pmid=19718405 |pmc=2730619 |doi=10.3349/ymj.2009.50.4.555 |url=}}</ref>
Symptoms of actinomycosis include :<ref name="pmid27311002">{{cite journal |vauthors=Bonnefond S, Catroux M, Melenotte C, Karkowski L, Rolland L, Trouillier S, Raffray L |title=Clinical features of actinomycosis: A retrospective, multicenter study of 28 cases of miscellaneous presentations |journal=Medicine (Baltimore) |volume=95 |issue=24 |pages=e3923 |year=2016 |pmid=27311002 |pmc=4998488 |doi=10.1097/MD.0000000000003923 |url=}}</ref><ref name="pmid21738348">{{cite journal |vauthors=Sung HY, Lee IS, Kim SI, Jung SE, Kim SW, Kim SY, Chung MK, Kim WC, Oh ST, Kang WK |title=Clinical features of abdominal actinomycosis: a 15-year experience of a single institute |journal=J. Korean Med. Sci. |volume=26 |issue=7 |pages=932–7 |year=2011 |pmid=21738348 |pmc=3124725 |doi=10.3346/jkms.2011.26.7.932 |url=}}</ref><ref name="pmid19718405">{{cite journal |vauthors=Choi MM, Baek JH, Beak JH, Lee JN, Park S, Lee WS |title=Clinical features of abdominopelvic actinomycosis: report of twenty cases and literature review |journal=Yonsei Med. J. |volume=50 |issue=4 |pages=555–9 |year=2009 |pmid=19718405 |pmc=2730619 |doi=10.3349/ymj.2009.50.4.555 |url=}}</ref><ref name="pmid3317731">{{cite journal| author=Smego RA| title=Actinomycosis of the central nervous system. | journal=Rev Infect Dis | year= 1987 | volume= 9 | issue= 5 | pages= 855-65 | pmid=3317731 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3317731  }} </ref>
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Revision as of 18:24, 21 March 2017

Actinomycosis Microchapters

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

Overview

History

Specific areas of focus when obtaining a history from the patient include the history of:

  • Poor oral hygiene or dental caries
  • Periodontal disease
  • Trauma or dental surgery
  • Osteonecrosis (due to bisphosphonates or radiation therapy)
  • Ingestion of foreign body (fish or chicken bones)
  • Perforated viscus
  • Abdominal surgery
  • IUD (intrauterine device)

Symptoms

Symptoms of actinomycosis include :[1][2][3][4]

Type History Symptoms
Cervicofacial actinomycosis
  • Poor oral hygiene or dental caries
  • Periodontal disease
  • Osteonecrosis (due to bisphosphonates or radiation therapy)
  • Tender swollen lumps on cheeks or neck during initial stages and later become hard and painless.
  • Fever
  • Difficulty chewing due to stiffness of jaw
  • Sinus tracts on the lumps which drain yellow granular material
  • Reddish or bluish discoloration of skin over the lump
Thoracic actinomycosis
  • History of aspiration (seizure disorder, alcoholism, and poor dental hygiene)
  • Fever
  • Fatigue
  • Weight loss
  • Loss of appetite
  • Chest pain
  • Shortness of breath
  • Sinus tracts which drain yellow granular material
Abdominal actinomycosis
  • Abdominal surgery
  • Perforated viscus, mesenteric vascular insufficiency, or ingestion of foreign bodies
  • Fever
  • Fatigue
  • Change in bowel habits (constipation or diarrhea)
  • Abdominal pain
  • Nausea and vomiting
  • Mass or lump in the abdomen
  • Sinus tracts which drain yellow granular material
Pelvic actinomycosis
  • IUD (intrauterine device)
  • Mild fever
  • Lower abdominal pain
  • Fatigue
  • Loss of appetite
  • Mass or lump in the pelvis
CNS actinomycosis
  • Headache
  • Nausea and vomiting
  • Dizziness
  • Seizures
  • Fever

References

  1. ↑ Bonnefond S, Catroux M, Melenotte C, Karkowski L, Rolland L, Trouillier S, Raffray L (2016). "Clinical features of actinomycosis: A retrospective, multicenter study of 28 cases of miscellaneous presentations". Medicine (Baltimore). 95 (24): e3923. doi:10.1097/MD.0000000000003923. PMC 4998488. PMID 27311002.
  2. ↑ Sung HY, Lee IS, Kim SI, Jung SE, Kim SW, Kim SY, Chung MK, Kim WC, Oh ST, Kang WK (2011). "Clinical features of abdominal actinomycosis: a 15-year experience of a single institute". J. Korean Med. Sci. 26 (7): 932–7. doi:10.3346/jkms.2011.26.7.932. PMC 3124725. PMID 21738348.
  3. ↑ Choi MM, Baek JH, Beak JH, Lee JN, Park S, Lee WS (2009). "Clinical features of abdominopelvic actinomycosis: report of twenty cases and literature review". Yonsei Med. J. 50 (4): 555–9. doi:10.3349/ymj.2009.50.4.555. PMC 2730619. PMID 19718405.
  4. ↑ Smego RA (1987). "Actinomycosis of the central nervous system". Rev Infect Dis. 9 (5): 855–65. PMID 3317731.

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