Pediatric Actinomycosis Treatment & Management

Updated: Jan 12, 2016
  • Author: Jorge M Quinonez, MD; Chief Editor: Russell W Steele, MD  more...
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Treatment

Medical Care

See the list below:

  • In patients whose actinomycosis is not critical, the option to treat medically along with prolonged courses of antibiotics is an acceptable alternative.

  • A combined medical-surgery approach is frequently needed for complicated disease, especially when thoracic, abdominal, or CNS disease is present.

  • The duration of therapy is prolonged and should be extended well beyond resolution of symptoms to decrease the likelihood of recurrence.

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Surgical Care

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  • Surgery is indicated for resection of necrotic tissue, debulking of large masses, sinus tract excision, incision and drainage of empyemas, and abscesses and bone curettage.

  • Surgery alone is not curative, and the use of prolonged courses of antibiotics is always required.

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Consultations

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  • Pediatric surgeon

  • Pediatric infectious diseases specialist

  • Ear, nose, and throat specialist

  • Dentist and/or maxillofacial surgeon

  • Gynecologist

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