Actinomycosis surgery

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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

Surgery is often required for the disease involving chest, abdomen, pelvis, and central nervous system (CNS) area.

Surgery

Antibiotics are the cornerstone of treatment for actinomycosis, surgical resection is required for infected tissue in cases, especially if extensive necrotic tissue, sinus tracts, or fistulas are present. Surgery is also indicated if malignancy cannot be excluded or if large abscesses or empyemas cannot be drained by percutaneous aspiration. The need for surgery must be assessed on an individual basis. Surgery may be a valid option for patients who do not respond to medical treatment. A retrospective analysis of patients with thoracic actinomycosis showed that surgery cleared the disease in five patients who responded unfavorably to initial antibiotics. Surgery may also be used to control symptoms, as in the control of haemoptysis in thoracic actinomycosis.
Surgical therapy options include

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

References

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