Actinomycosis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

## Overview

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Antibiotics are the mainstay of treatment for actinomycosis. Surgery is required when the disease involves chest, abdomen, pelvis, and central nervous system (CNS).[1]

## Surgery

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Indications

* Patients nonresponsive to medical therapy
* Disseminated actinomycosis
* Failure to exclude malignancy by imaging studies
* Large abscess that cannot be drained through percutaneous aspiration

Surgical options

* Incision and drainage of abscesses
* Excision of sinus tracts and recalcitrant fibrotic lesions
* Decompression of closed-space infections

## References

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1. ↑ Hayashi M, Asakuma M, Tsunemi S, Inoue Y, Shimizu T, Komeda K, Hirokawa F, Takeshita A, Egashira Y, Tanigawa N (2010). "Surgical treatment for abdominal actinomycosis: A report of two cases". World J Gastrointest Surg. 2 (12): 405–8. doi:10.4240/wjgs.v2.i12.405. PMC 3014523. PMID 21206723.

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