170 - Actinomycosis

Question 1

What are the 3 classic signs suggesting actinomycosis infection?

Answer 1

1. correlation between tissue progression and mass like presentation
2. sinus tract which heals spontaneously
3. relapse/resistance of the infection after short period of treatment

Question 2

Why does relapse/resistance occur after a short period of treatment?

Answer 2

Actinomycosis requires a long treatment

Question 3

Patients suffering from actinomycosis which will not seek __ care, women with __, and patients receiving __, are in higher risk.

Answer 3

medical
IUD
bisphosphonates

Question 4

The interference with the __ barrier may cause actinomycosis infection

Answer 4

mucosal

Question 5

Actinomycosis lesions characteristics include- central __ with __ and __. The walls are __ and can be described as __-like.

Answer 5

necrosis
neutrophils
granules
tree

Question 6

Actinomycosis rarely spread via __ or __ way. The classic spread imitate __.

Answer 6

hematogenic
lymphatic
malignancy

Question 7

What are the common clinical areas actinomycosis involve? 6

Answer 7

oral/facial/neck
thorax
abdomen
pelvic
CNS
skeletal/soft tissue

Question 8

Oral actinomycosis usually involves the ___ angle

Answer 8

mandibular

Question 9

Treating actinomycosis is __ term with __ dosage.

Answer 9

long

high

Question 10

What is the goal standard treatment for actinomycosis?

Answer 10

penicillin G for 4-6 weeks
followed by
amoxicillin/penicillin PO for 6-12 months