What actinomycosis

Actinomycosis - a chronic bacterial infection caused by gram-positive Non-spore sticks obligate or facultative anaerobes, most of which belongs to the genus Actinomyces.

Virtually all cases of actinomycosis caused by polymicrobial flora, when along with actinomycetes are detected, for example, Enterobacteriaceae, Fusobacterium spp., Streptococcus spp.and other microorganisms, depending on the localization of infection.

Types disease

clinical picture is quite varied as any body may be affected.

are the following options:

  • cervical-mandibular actinomycosis m neck defeat, face, mouth, middle ear, sinuses, tear ducts;
  • thoracic actinomycosis - involvement in the pathological process of pulmonary parenchyma and pleura, and in rare cases - the mediastinum;
  • abdominal actinomycosis - can affect any organ of the abdominal cavity with the formation of an abscess or a dense infiltrate;
  • CNS actinomycosis - single or multiple abscesses in the brain (rare);
  • actinomycosis of female genitals - begins with end
    ometritis, it runs a chronic, complicated by the adhesive process in the pelvis;
  • actinomycosis bones - often develops in the transition of the inflammatory process from the surrounding tissue;
  • generalized actinomycosis - is the result of hematogenous drift, but usually does not lead to multi-organ lesion, often suffer from lung and liver.

flow actinomycosis

Actinomycetes introduced into the damaged mucosa, developing a local inflammatory process (aktinomikoticheskaya granuloma), which later moves to surrounding tissues and rarely spreads by hematogenous through the body.

After the acute inflammation process becomes chronic with the formation of single or multiple infiltrates, which are formed in the center of ulcers containing drusen.

friends called small yellowish grains, rounded structure of yellow color, which are encapsulated colonies of the pathogen.They can be seen in purulent lesions.

actinomycosis interesting feature is that this infection is not limited to anatomical barriers, and slowly and steadily progresses, affecting adjacent organs, skin, bones, forming a fistula.

Diagnosis and treatment

Actinomycetes are part of the normal microflora, which complicates diagnosis - finding them in the sputum, swabs, scrapings has no diagnostic value.

The diagnosis is carried out by a combination of clinical symptoms, on the basis of imaging studies (ultrasound, CT, X-ray).

abjection of purulent or biopsy material is not always possible, but can confirm the diagnosis.

Standard treatment protocol involves a long course of antibiotic treatment, which can last from two weeks to 12 months, depending on the degree of injury and the patient's condition.

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