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:

• Poor oral hygiene or dental caries

• Periodontal disease
• Trauma or dental surgery
• Osteonecrosis (due to bisphosphonates or radiation therapy)
• Ingestion of foreign body (fish or chicken bones)
• Perforated viscus
• Abdominal surgery
• IUD (intrauterine device)

Symptoms

Type	Symptoms
Cervicofacial actinomycosis	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	Fever Fatigue Weight loss Loss of appetite Chest pain Shortness of breath Sinus tracts which drain yellow granular material
Abdominal actinomycosis	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	Mild fever Lower abdominal pain Fatigue Loss of appetite Mass or lump in the pelvis
CNS actinomycosis	Headache Nausea and vomiting Dizziness Seizures Fever

References

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