Pediatric Actinomycosis Treatment & Management

Updated: Oct 28, 2021
  • Author: Jorge M Quinonez, MD; Chief Editor: Russell W Steele, MD  more...
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Treatment

Medical Care

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

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

Consultation with the following may be necessary:

  • Pediatric surgeon

  • Pediatric infectious diseases specialist

  • Ear, nose, and throat specialist

  • Dentist and/or maxillofacial surgeon

  • Gynecologist

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