Actinomycosis history and symptoms

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

Overview

Consider actinomycosis when the patient has chronic progression of disease across tissue planes that is mass-like at times, sinus tract development that may heal and recur, and refractory infection after a typical course of antibiotics.

History and Symptoms

Symptoms of actinomycosis depends 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

References

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