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.
clinical picture is quite varied as any body may be affected.
are the following options:
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.
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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