Gram + Branching Filamentous Rods - Treatments

Question 1

Treatment for Actinomyces israelii?

Answer 1

• Drain abscess
• Parenteral penicillin G for a few weeks, then oral for several months (prophylaxis too, if recurring)

If allergic, use tetracycline, erythromycin, clindamycin

Question 2

Treatment for Nocardia asteroides?

Answer 2

SxT preferred

Carbapenems + amikacin