inf caused by branching filamentous organisms

Question 0

actinomycosis

normal flora in oropharynx, GI, vagina as spirochetes

Answer 0

-caused by actinomyces israelii thats INOCULATED into DEEPER tissues (bc cant invade) that causes ABSCESSES with sulfur granules in Splendore-hoeppli material in (sinus tracts?)
-occurs in:
1. cervicofascial actinomycosis (jaw injury, DENTIST
2. thoracic actinomycosis (aspiration)
3. abd actinomycosis (bowel, appendix)
4. pelvic actinomycosis (IUDs)
SX: jaw swelling, face, neck

Question 1

2 infections caused by branching filamentous organisms

Answer 1

1. actinomycosis

2. nocardiosis

Question 2

nocardiosis

Answer 2

-aerobic, gram +, in soil, weakly acid fast, silver stain
-INHALATION - NONCOMMUNICABLE
-causes SUPPURATIVE RESP INF IN IC (ESP ICMI)
-SX: if good CMI: eliminate infection
if IC: pul abscess extending into pleural, trachea, heart, mets in blood–>brain/skin
FATA UNTX, tx with sulfonamids for months