Actinomycosis physical examination
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Patients with actinomycosis are usually well-appearing. Physical examination reveals combination of several non-specific findings.
- In cases with skin involvement from direct inoculation, regional lymph node enlargement may be seen.
Findings consistent with parenchymal consolidation such as
- A palpable mass can be present in any quadrant of abdomen.
- Most common in right lower quadrant( ileocecal valve) due to its association with appendicitis.
- Nodular lesions which gradually increase in size and number resulting in multiple abscesses, and ultimately forming sinuses that open outside.
- Skin around the abscess appears swollen, erythematous, or ecchymotic
- Ulcers that bleed on touch
Nervous system examination
- Valour F, Sénéchal A, Dupieux C, Karsenty J, Lustig S, Breton P, Gleizal A, Boussel L, Laurent F, Braun E, Chidiac C, Ader F, Ferry T (2014). "Actinomycosis: etiology, clinical features, diagnosis, treatment, and management". Infect Drug Resist. 7: 183–97. doi:10.2147/IDR.S39601. PMC 4094581. PMID 25045274.