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

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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