Actinomyces israelii

Question 1

Micro?

Answer 1

Gram + bacilli (rod) with branching fragments; anaerobic. Non spore, non acid-fast. In normal flora of mouth and GI tract

Question 2

Presentation?

Answer 2

Opportunistic infection in chronic disease. Slow growing infection. Forms abscesses of SULFUR GRANULES

Question 3

Signs/symptoms?

Answer 3

1. Chest pain with deep breath & SOB
2. Sputum producing cough
3. Lethargy, night sweats, weight loss

Question 4

Diagnosis?

Answer 4

Aspiration material with sulfur granules

Question 5

Tx?

Answer 5

IV penicillin 4-6 weeks –> oral penicillin several months

Question 6

Buzz words?

Answer 6

1. Sinus tract
2. Painless abscess
3. Sulfur granules
4. Dental procedures

Question 7

3 places in the body this bug attics?

Answer 7

Cervicofacial, abdominal, pulmonary