Actinomycosis surgery

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

Overview

Antibiotics are the mainstay of treatment for actinomycosis. Surgery is required when the disease involves chest, abdomen, pelvis, and central nervous system (CNS).

Surgery

Antibiotics are the cornerstone of treatment for actinomycosis.
Indications

• Patients nonresponsive to medical therapy
• Disseminated actinomycosis
• Failure to exclude malignancy by imaging studies
• Large abscess that cannot be drained through percutaneous aspiration

Surgical options

• Incision and drainage of abscesses
• Excision of sinus tracts and recalcitrant fibrotic lesions
• Decompression of closed-space infections

References

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