actinomyces & nocardia
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Actinomyces
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Actinomyces israelii
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Gram positive filamentous bacilli
Obligate anaerobe
Actinomyces actually means "ray fungus" in Greek
Previously thought as fungi, but they Bacteria
Sulfur granules
Important species A.Israellii
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Sulphur granules
sulphur granule is shown in the
Courtesy by Dr.Alvin fox
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Epidemiology
Endogenous
Gums, GIT and female ganital tract
Opportunistic,following disruption of mucosal barriers by tr
surgery or infection
No person to person transmission
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Clinical features
Suppurative and granulomatous
multiple abscesses and interconnecting sinus tracts
Micro coloniessulfur granules
bone involvement
Common areas of lesions Cervicofacial
Thoracic
Abdominal
Pelvic
Cranial
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Actinomyces infection
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Diagnosis
Slow growth (up to two weeks or more)
Colonies have "molar tooth" appearance on agar
Sulfur granules
Treatment
Penicillin
Surgery and debridement
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Nocardia
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Nocardia
Gram positive- weakAcid Fast- weak
Filamentous branching
Strict aerobe
Blood Agar- 1-4 days produce colonies (slow growth
Rough, irregular, chalky appearance colonies
2 impt organisms:
Nocardia Asteroids- Pulmonary Nocardiosis
Nocardia Brazilicnes- Cutaneous Nocardiosis
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Nocardia
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Epidemiology
Present in soil, intestines of humans & animals
Inhalation- Pulmonary Nocardiosis
Thorn Picks- Cutaneous Nocardiosis
No case to case transfer
No virulent factors known
No pathogenesis known
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Clinical Features
Pulmonary Nocardiosis
Acute/chronic/relapsing-bronchopneumonia
Cavities in lungs
In brain circulation- brain abscess
Cutaneous Nocardiosis
Cellulitis
Sinus tract-mycetoma- progressive chronic granulmatouinfection
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Diagnosis
Clinically
Gram stain- filamentous
Acid Fast- take the stainingBlood Agar Culture- aerobic conditions
Pigment: white-orange
Treatment
Sulfanamides
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