Gynecological actinomycete infection

Gynecological actinomycete infection is mainly a suppurative granulomatous disease caused by fungal infection. It usually parasitizes on the human body and is relatively abnormal under normal circumstances. However, when the body's resistance is reduced, tonsillitis, periodontal abscesses and hard lumps in the chest will occur. Therefore, we should treat it in time. The treatment drugs can be penicillin and other drugs.

Actinomycosis is a chronic suppurative granulomatous disease caused primarily by anaerobic actinomycetes (not fungi). The main pathogenic bacteria is Israeli actinomycetes. Actinomycetes parasitize in the human body and generally do not cause disease. However, when the body's resistance is reduced or accompanied by bacterial infection, it can cause disease, which is often transmitted by local spread to contact adjacent tissues. For example, maxillofacial actinomycosis may occur after suffering from dental disease or tonsillitis, and actinomycetes may be inhaled into the bronchi with sputum and cause thoracic actinomycosis.

Actinomycosis often occurs on the face and neck, and is often accompanied by a history of periodontal abscess, tonsillitis or tooth extraction. It can also occur in the chest (lungs, pleura, chest wall) and abdomen (intestinal wall, abdominal organs, etc.). The initial rash is a painless subcutaneous nodule, which gradually swells and increases in size, and then forms an abscess. After the abscess breaks through, many sinus tracts may be formed, and "sulfur particles" can be seen in the discharge, which is a characteristic of this disease.

Take the sulfur granules directly and add water for microscopic examination. Under low-power microscope, opaque clumps can be seen, surrounded by radial protrusions or rods. Gram staining can reveal positive fibrous hyphae and spiral rod-shaped bodies. Anaerobic culture can identify bacterial species based on characteristics such as colonies.

Treatment of actinomycosis

Emphasis is placed on early treatment, rational use of medication, and persistence in adequate courses of treatment.

1. The drug of choice is penicillin, 6 to 12 million U/day, intravenous drip, the course of treatment is 4 to 6 weeks, and sometimes it may take longer.

2. Those who are allergic to penicillin can use tetracycline or erythromycin, 1g/day, orally in four doses. They can also choose sulfadiazine 4-6g/day, orally in divided doses. Other options include lincomycin, streptomycin, etc.

3. Local surgical methods can be used to remove abscesses and necrotic tissue.