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Actinomicose

Última revisão: 16 Aug 2025
Última atualização: 11 May 2023

Resumo

定义

病史和体格检查

关键诊断因素

  • presença de fatores de risco
  • edema de tecidos moles
完整详情

其他诊断因素

  • 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
完整详情

危险因素

  • sexo masculino
  • lesão ou inflamação da cavidade oral
  • diabetes mellitus
  • imunossupressão
  • dano tecidual local por neoplasia, trauma ou irradiação
  • dispositivo intrauterino
  • aspiração
完整详情

诊断性检查

首要检查

  • cultura de pus ou tecido afetado
  • histologia do tecido afetado
  • imuno-histologia
  • Hemograma completo
  • tomografia computadorizada (TC) ou ressonância nuclear magnética (RNM) abdominal
完整详情

新兴检查

  • reação em cadeia da polimerase do tecido afetado

治疗流程

急症处理

não alérgicos à penicilina

alergia à penicilina

撰稿人

作者

Thomas Schneider, MD, PhD

Professor

Medical Department I

Charité - University Medicine Berlin

CBF

Berlin

Germany

利益声明

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

利益声明

VM is an author of a number of references cited in this topic.

同行评议者

Johannes R. Bogner, MD

Professor of Internal Medicine

Department of Infectious Diseases

Medical Polyclinic

University Hospital Munich

Munich

Germany

利益声明

JRB declares that he has no competing interests.

Chris Huston, MD

Assistant Professor of Medicine

Division of Infectious Diseases

University of Vermont

Burlington

VT

利益声明

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.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Smego RA Jr, Foglia G. Actinomycosis. Clin Infect Dis. 1998 Jun;26(6):1255-61. 摘要

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. 摘要

Wong VK, Turmezei TD, Weston VC. Actinomycosis. BMJ. 2011 Oct 11;343:d6099. 摘要

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. 摘要

Spilsbury BW, Johnstone FR. The clinical course of actinomycotic infections: a report of 14 cases. Can J Surg. 1962 Jan;5:33-48. 摘要

Sudhakar SS, Ross JJ. Short-term treatment of actinomycosis: two cases and a review. Clin Infect Dis. 2004 Feb 1;38(3):444-7.全文  摘要

Bennhoff DF. Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases. Laryngoscope. 1984 Sep;94(9):1198-217. 摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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