Find information on thousands of medical conditions and prescription drugs.

Actinomycosis

Actinomycosis, ak tuh nuh my KOH sihs, is a rare infectious disease, from Actinomyces bacteria, that affects human beings. more...

Home
Diseases
A
Aagenaes syndrome
Aarskog Ose Pande syndrome
Aarskog syndrome
Aase Smith syndrome
Aase syndrome
ABCD syndrome
Abdallat Davis Farrage...
Abdominal aortic aneurysm
Abdominal cystic...
Abdominal defects
Ablutophobia
Absence of Gluteal muscle
Acalvaria
Acanthocheilonemiasis
Acanthocytosis
Acarophobia
Acatalasemia
Accessory pancreas
Achalasia
Achard syndrome
Achard-Thiers syndrome
Acheiropodia
Achondrogenesis
Achondrogenesis type 1A
Achondrogenesis type 1B
Achondroplasia
Achondroplastic dwarfism
Achromatopsia
Acid maltase deficiency
Ackerman syndrome
Acne
Acne rosacea
Acoustic neuroma
Acquired ichthyosis
Acquired syphilis
Acrofacial dysostosis,...
Acromegaly
Acrophobia
Acrospiroma
Actinomycosis
Activated protein C...
Acute febrile...
Acute intermittent porphyria
Acute lymphoblastic leukemia
Acute lymphocytic leukemia
Acute mountain sickness
Acute myelocytic leukemia
Acute myelogenous leukemia
Acute necrotizing...
Acute promyelocytic leukemia
Acute renal failure
Acute respiratory...
Acute tubular necrosis
Adams Nance syndrome
Adams-Oliver syndrome
Addison's disease
Adducted thumb syndrome...
Adenoid cystic carcinoma
Adenoma
Adenomyosis
Adenosine deaminase...
Adenosine monophosphate...
Adie syndrome
Adrenal incidentaloma
Adrenal insufficiency
Adrenocortical carcinoma
Adrenogenital syndrome
Adrenoleukodystrophy
Aerophobia
Agoraphobia
Agrizoophobia
Agyrophobia
Aicardi syndrome
Aichmophobia
AIDS
AIDS Dementia Complex
Ainhum
Albinism
Albright's hereditary...
Albuminurophobia
Alcaptonuria
Alcohol fetopathy
Alcoholic hepatitis
Alcoholic liver cirrhosis
Alektorophobia
Alexander disease
Alien hand syndrome
Alkaptonuria
Alliumphobia
Alopecia
Alopecia areata
Alopecia totalis
Alopecia universalis
Alpers disease
Alpha 1-antitrypsin...
Alpha-mannosidosis
Alport syndrome
Alternating hemiplegia
Alzheimer's disease
Amaurosis
Amblyopia
Ambras syndrome
Amelogenesis imperfecta
Amenorrhea
American trypanosomiasis
Amoebiasis
Amyloidosis
Amyotrophic lateral...
Anaphylaxis
Androgen insensitivity...
Anemia
Anemia, Diamond-Blackfan
Anemia, Pernicious
Anemia, Sideroblastic
Anemophobia
Anencephaly
Aneurysm
Aneurysm
Aneurysm of sinus of...
Angelman syndrome
Anguillulosis
Aniridia
Anisakiasis
Ankylosing spondylitis
Ankylostomiasis
Annular pancreas
Anorchidism
Anorexia nervosa
Anosmia
Anotia
Anthophobia
Anthrax disease
Antiphospholipid syndrome
Antisocial personality...
Antithrombin deficiency,...
Anton's syndrome
Aortic aneurysm
Aortic coarctation
Aortic dissection
Aortic valve stenosis
Apert syndrome
Aphthous stomatitis
Apiphobia
Aplastic anemia
Appendicitis
Apraxia
Arachnoiditis
Argininosuccinate...
Argininosuccinic aciduria
Argyria
Arnold-Chiari malformation
Arrhythmogenic right...
Arteriovenous malformation
Arteritis
Arthritis
Arthritis, Juvenile
Arthrogryposis
Arthrogryposis multiplex...
Asbestosis
Ascariasis
Aseptic meningitis
Asherman's syndrome
Aspartylglycosaminuria
Aspergillosis
Asphyxia neonatorum
Asthenia
Asthenia
Asthenophobia
Asthma
Astrocytoma
Ataxia telangiectasia
Atelectasis
Atelosteogenesis, type II
Atherosclerosis
Athetosis
Atopic Dermatitis
Atrial septal defect
Atrioventricular septal...
Atrophy
Attention Deficit...
Autoimmune hepatitis
Autoimmune...
Automysophobia
Autonomic dysfunction
Familial Alzheimer disease
Senescence
B
C
D
E
F
G
H
I
J
K
L
M
N
O
P
Q
R
S
T
U
V
W
X
Y
Z
Medicines

Characterisation

It is characterised by the formation of painful abscesses in the mouth, lungs, or digestive organs. These abscesses grow larger as the disease progresses, often over a period of months. In severe cases, the abscesses may break through bone and muscle to the skin, where they break open and leak large amounts of pus.

Occurrences

Actinomycosis occurs in cattle and other animals as a disease called lumpy jaw. This name refers to the large abscesses that grow on the head and neck of the infected animal.

Causes

Actinomycosis is caused by any of several members of a group of bacteria called actinomyces. These bacteria are anaerobes - that is, they cannot survive in the presence of large amounts of oxygen. Actinomyces normally live in the small spaces between the teeth and gums. They cause infection only when they can multiply freely in places where oxygen cannot reach them. The three most common sites of infection are decayed teeth, the lungs, and the intestines.

Treatment

Doctors use penicillin to treat actinomycosis.

Sources of Information

  • World Book encyclopedia.

Read more at Wikipedia.org


[List your site here Free!]


Ex-smoker with productive cough, weight loss, and draining lesion - ACCP-SEEK board review question of the month - actinomycosis
From CHEST, 11/1/02 by Richard S. Irwin

(CHEST 2002; 122:183 7-1839)

A 50-year-old ex-smoker has been complaining of a 5-month history of morning cough that is productive of small amounts of discolored phlegm, fever, a 10-pound weight loss, fatigue, and a lesion on his face (Figure 1). The lesion drains, tends to heal over for a few days, then breaks down and discharges pus containing sand-like yellow-to-white particles. The patient, who had undergone coronary artery bypass graft surgery 5 years before, takes no medications, admits to drinking two glasses of wine each night, and has no other complaints other than that his gums occasionally bleed when he brushes his teeth. Physical examination reveals a temperature of 38.2[degrees]C, blood pressure 140/80 mm Hg, pulse 84 beats/rain, respirations 26 breaths/min, and crackles heard over the anterior portion of the right chest. A chest radiograph is obtained (Figure 2). The metal clips in the mediastinum are incidental findings from a prior coronary artery bypass operation. Which of the following diseases does the patient most likely have?

A. Bronchogenic carcinoma

B. Actinomycosis

C. Staphylococcal infection

D. Tuberculosis

E. Sweet's syndrome

[FIGURES 1-2 OMITTED]

Answer: B. Actinomycosis.

The patient under discussion has disseminated actinomycosis. It initially began as a thoracic infection that spread to the skin. Clues to the diagnosis are as follows: 1) the presence of risk factors for aspiration of an excessive amount of anaerobic oropharyngeal secretions (eg, bleeding gums and at least 2 glasses of wine each night); 2) indolent nature of the illness; 3) the classic description of the patient seeing and feeling sulfur granules in the draining skin lesion; and 4) the disrupted interlobar pleura (see arrow in Figure 3 which points to the disruption) where the infection spread from one lobe to another across the minor fissure. The diagnosis was confirmed by crushing, staining and examining granules from the drainage of the patient's face lesion, and anaerobically culturing the same material. The smear revealed a sulfur granule (Figure 4); the culture grew Actinomyces israelii.

[FIGURES 3-4 OMITTED]

Actinomycosis is a term used to describe an anaerobic or microaerophilic infection caused by bacteria in the genus. Actinomyces. While nine species have been implicated in human disease, A israelii accounts for the majority of human cases. These bacteria are Gram-positive, pleomorphic organisms that range in appearance from bacillary to long, branching filamentous forms that may simulate fungal hyphae. While these organisms are not acid-fast (in contrast to Nocardia species) when stained by the Ziehl-Neelsen method, they can be when stained with the method of Putt.

The organisms that cause actinomycosis are part of the indigenous, microbiological flora of the upper respiratory and lower gastrointestinal tracts. The pathogenesis of thoracic actinomycosis includes aspiration of oropharyngeal secretions, extension from cervicofacial infection through the mediastinum to the pleura or lungs, or extension from abdominal infection through the diaphragm. Because infection with these organisms typically ignores anatomical boundaries, pneumonia is almost always complicated by pleural involvement. Delayed diagnosis and treatment of pleural infection can lead to spread of infection to bone and soft tissue with cutaneous draining sinus tracts, and damage to oral mucosa can lead to cervicofacial infection that presents as a lumpy jaw (Figure 5). Lumpy jaw refers to the lumpy appearance of the subcutaneous tissue :around the mandible created by subcutaneous induration and edema due to the spread of this infection. In Figure 5, the infection extends from the middle of the figure, corresponding to the most proximal aspect of the mandible, to the right hand margin.

[FIGURE 5 OMITTED]

Sulfur granules (so-named because of their yellow color in tissue) are comprised of masses of matted, interconnected bacterial filaments. They form because the organisms secrete a polysaccharide-containing protein that cements filaments together. Although characteristic of actinomycosis and extremely useful in narrowing the diagnostic possibilities, the presence of sulfur granules is not specifically diagnostic of this disease. They have been found in botryomycosis of the skin due to staphylococci, mycetomas of the skin due to Nocardia species, and visceral botryomycosis due to Pseudomonas and Proteus species and Staphylococcus aureus. There is no convincing evidence that visceral infections due to Nocardia species are associated with sulfur granules.

The other listed diseases were not likely to cause our patient's constellation of findings for the following reasons: bronchogenic carcinoma, tuberculosis, and Sweet's syndrome (acute febrile neutrophilic dermatosis that can involve the lung) have not been associated with sulfur granules; and staphylococcal lung infection has been reported to disrupt pleural surfaces only when it causes a lung abscess, and this was not present in our patient. In addition to actinomycosis and lung abscess, other diseases that have been reported to disrupt pleura] surfaces are nocardiosis, bronchogenic carcinoma, tuberculosis, and a variety of fungal infections.

SELECTED READINGS

Heffner JE. Pleuropulmonary manifestations of actinomycosis and nocardiosis. Semin Respir Infect 1988; 3:352-361

Robboy SJ, Vickery AL Jr. Tinctorial and morphologic properties distinguishing actinomycosis and nocardiosis. N Engl J Med 1970; 282:593-596

Varkey B. Sulfur granules. JAMA 1982; 248:3025

Fraser RS, Muller NL, Cohnan N, et al. Fungi and actinomyces. In: Fraser RS, Muller NL, Colman N, et al, eds. Fraser and Pare's diagnosis of diseases of the chest (vol 2). 4th ed. Philadelphia, PA: WB Saunders Co., 1999; 878-978

* From the ACCP-SEEK program, reprinted with permission. Items are selected by Department Editors Richard S. Irwin. MD. FCCP, and John G. Weg, MD, FCCP. For additional information about the ACCP-SEEK program, phone 1-847-498-1400.

Correspondence to: Richard S. Irwin, MD, FCCP, Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine, University of Massachusetts Medical School, 55 Lake Ave North, Worcester, MA 01655; e-mail: irwinr@ummhc.org

COPYRIGHT 2002 American College of Chest Physicians
COPYRIGHT 2003 Gale Group

Return to Actinomycosis
Home Contact Resources Exchange Links ebay