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Actinomycetes
Filamentous bacteria
General properties
Gram positive branching filaments
Slow growers
Resemble Corynebacteria, mycobacteria and fungi
Include:
Actinomyces – anaerobe, normal flora
Norcadia – aerobe, saprophyte – PARTIALLY ACID FAST
Streptomyces- aerobe, saprophyte
Gram Positive Filamentous Bacteria
Actinomyces
Genus features
• Gram positive branching,or diphtheroid-like bacilli
• Non sporing
• Anaerobic and require CO2 for growth
• Non- acid fast (Carbol fuchsin ) Decolourization.
• Lack nuclear membrane
• Divided by binary fission
• Catalase -ve
Species of medical importance
• Actinomyces israelii
Actinomyces
C diptheriae: Gram stain
Actinomyces israelii
Genus Characteristics :
• - Gram-positive
• branching rods.
• - Anaerobic.
• - Non-acid fast.
• Habitats: human; normal flora of gingival crevices and female genital
tract.
• Mode of transmission: endogenous. # Trauma (invade tissue)
Actinomyces israelii
Chronic granulomatous lesion
that drains pus via sinus
(Sulphur granules)
Cervico-facial infection
(Trauma to mouth or
dental abscess)
Actinomycosis
• Based on the site of involvement, the three common
forms are cervicofacial, thoracic, and abdominal
actinomycosis.
• Cervicofacial disease presents as a swollen,
erythematosus process in the jaw area (known as
"lumpy jaw"): dental trauma or poor oral hygiene
Actinomycosis
• A chronic suppurative and granulomatous disease of the
cervico-facial, thoracic or abdominal areas
Actinomy
cosis
Actinomycosis
III) Lab. diagnosis
1) Specimen

Pus
2) Direct examination

Detect Sulphur
granules
3) Direct smear

Gram stain
(Filamentous branching
gram positive bacilli)
4) Cultivation

Anerobic

Thioglycolate broth

Brain heart infusion
blood agar
4) Cultivation

Anerobic

Colonies
(Spidery molar teeth)
4) Cultivation

Anerobic
Colonies identified by
Immunofluorescent
IV) Treatment &
Prevention
Actinomycosis
IV) Treatment
Clindamycin
Surgical drainage
Thank You

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