This document discusses Actinomycetes, which are filamentous, Gram-positive bacteria that include the genera Actinomyces, Norcardia, and Streptomyces. Actinomyces israelii is described in more detail, including its characteristics as an anaerobic, Gram-positive, branching rod that is part of the normal human flora in the mouth and genitals. Actinomycosis is discussed as a chronic infection caused by A. israelii that can involve the cervicofacial, thoracic, or abdominal regions and presents as swollen lesions that drain pus. Laboratory diagnosis of actinomycosis involves direct examination of samples for sulfur granules,