Actinomycosis history and symptoms

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

History

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

Symptoms

Symptoms of actinomycosis depend on the site of infection.

Cervicofacial actinomycosis

The symptoms of cervicofacial actinomycosis include:

• 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

The symptoms of thoracic actinomycosis include:

• Fever
• Fatigue
• Weight loss
• Loss of appetite
• Chest pain
• Shortness of breath
• Sinus tracts which drain yellow granular material

Abdominal actinomycosis

The symptoms of abdominal actinomycosis include:

• 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 The symptoms of pelvic actinomycosis include:

• Mild fever
• Lower abdominal pain
• Fatigue
• Loss of appetite
• Mass or lump in the pelvis

References

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