Summary
Definition
History and exam
Key diagnostic factors
- presença de fatores de risco
- edema de tecidos moles
Other diagnostic factors
- diversos tratos sinusais
- descoloração da pele
- dificuldades de mastigação
- sintomas constitucionais
- alteração nos hábitos intestinais
- desconforto abdominal
- náuseas e vômitos
- sensação de massa abdominal
- sangramento ou corrimento vaginal
- tosse produtiva ou seca
- expectoração raiada de sangue
- dispneia
- dor torácica
- defeitos neurológicos focais
Risk factors
- sexo masculino
- lesão ou inflamação da cavidade oral
- diabetes mellitus
- imunossupressão
- dano tecidual local por neoplasia, trauma ou irradiação
- dispositivo intrauterino
- aspiração
Diagnostic investigations
1st investigations to order
- cultura de pus ou tecido afetado
- histologia do tecido afetado
- imuno-histologia
- Hemograma completo
- tomografia computadorizada (TC) ou ressonância nuclear magnética (RNM) abdominal
Emerging tests
- reação em cadeia da polimerase do tecido afetado
Treatment algorithm
não alérgicos à penicilina
alergia à penicilina
Contributors
Authors
Thomas Schneider, MD, PhD
Professor
Medical Department I
Charité - University Medicine Berlin
CBF
Berlin
Germany
Disclosures
TS is an author of a number of references cited in this topic.
Verena Moos, PhD
Scientist
Medical Department I
Charité - University Medicine Berlin
CBF
Berlin
Germany
Disclosures
VM is an author of a number of references cited in this topic.
Peer reviewers
Johannes R. Bogner, MD
Professor of Internal Medicine
Department of Infectious Diseases
Medical Polyclinic
University Hospital Munich
Munich
Germany
Disclosures
JRB declares that he has no competing interests.
Chris Huston, MD
Assistant Professor of Medicine
Division of Infectious Diseases
University of Vermont
Burlington
VT
Disclosures
CH declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Smego RA Jr, Foglia G. Actinomycosis. Clin Infect Dis. 1998 Jun;26(6):1255-61. Abstract
Acevedo F, Baudrand R, Letelier LM, et al. Actinomycosis: a great pretender: case reports of unusual presentations and a review of the literature. Int J Infect Dis. 2008 Jul;12(4):358-62. Abstract
Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ. 2011 Oct 11;343:d6099. Abstract
Martin MV. The use of oral amoxycillin for the treatment of actinomycosis: a clinical and in vitro study. Br Dent J. 1984 Apr 7;156(7):252-4. Abstract
Spilsbury BW, Johnstone FR. The clinical course of actinomycotic infections: a report of 14 cases. Can J Surg. 1962 Jan;5:33-48. Abstract
Sudhakar SS, Ross JJ. Short-term treatment of actinomycosis: two cases and a review. Clin Infect Dis. 2004 Feb 1;38(3):444-7.Full text Abstract
Bennhoff DF. Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases. Laryngoscope. 1984 Sep;94(9):1198-217. Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Diferenciales
- Abscesso abdominal
- Tumor ovariano ou tubário
- Apendicite
Más Diferenciales
Inicie sesión o suscríbase para acceder a todo el BMJ Best Practice
El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad