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actinomycosis
Specific chronic disease. The causative fungus radiant it is widely distributed in nature, which exists mainly in cereals (rye, barley, etc.). In dry hay or straw stored in the form of spores many years. It penetrates into the body together with the dust by inhalation or swallowing (during the processing of grain, their raw meal from the ears) and through broken skin or mucous membranes of the mouth, the stomach. After the introduction of the fungus in the tissue formed woody density infiltrate surrounded by granulation-mi, which is slowly but steadily increasing, involving in the process of surrounding tissue. Infiltrate contains specific grain - friends with radially arranged in the form of rays clavate and flask-shaped formations. In the center of the Druze has a dense interweaving threads of mycelium.
The most common (50%) actinomycosis occurs on the face and neck in the intestine (15-20%) and lung (10-15%) and less frequently in other parts of the body.
Symptoms and over:
The skin folds appear dense bluish-purple color. Thinning of the skin is covered and destroyed multiple ulcers and fistulas, semi-liquid pus containing yellowish-gray grains - Druze. In the intestines, where the radiant fungus gets from food, actinomycosis localized in the cecum. First, it infiltrates occur in the mucous membrane, which is then distributed to the submucosal layer and muscle. In the end, in the abdominal wall thereby forming a single welded stationary lumpy infiltrate. Later there appear foci of softening, small cavity decay (pus) and fistulas with winding passages, penetrating into the intestines, urinary tract, and others.
Actinomycosis of light begins in the lower lobes, slowly germinating parenchyma, pleura, chest wall and diaphragm to the abdominal cavity and the pericardium. The inflammatory process in the lungs and bronchi gives a picture of perifocal pneumonia, lung abscess and bronchiectasis secondary to abscess formation, masking the true nature of the fungal disease. Correct diagnosis often is made only after the defeat of the pleura and the chest wall.
actinomycosis Treatment should be complex. Used combination therapy: antibiotics, iodine, blood transfusion, radiotherapy, surgery.
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