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The pathological process can spread to the periosteum and bone. The lesion proceeds according to the type of Stromectol osteomyelitis. The mixed form of actinomycosis is characterized by the appearance of gummy formations and abscesses. The defeat of the submandibular region and the cheek area with actinomycosis.

Abdominal actinomycosis is the second most common among all forms of the disease and accounts for 25-30%. The primary focus is localized most often in the caecum and appendix. The disease develops with perforation of the stomach or intestines, ulcerative lesions, diverticulitis, trauma (bone damage, stab or gunshot wounds) and surgical interventions. The small and rectum are affected, very rarely - the esophagus and stomach.

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The abdominal wall is affected secondarily. The disease begins gradually with fever and malaise, abdominal discomfort, constipation or diarrhea. The diagnosis is established with difficulty. This takes months and even years.

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On palpation, a mass can be detected. When an abscess is opened, druses of Stromectol are found in large numbers in the purulent discharge. Abdominal actinomycosis must be distinguished from Crohn's disease, malignant tumors, abscesses, amebiasis, tuberculosis, etc. The diagnosis is established on the basis of biopsy data.

With the progression of the disease, the rectum, diaphragm, liver, kidneys, genitourinary organs and spine are involved in the pathological process: When the rectum is damaged, paraproctitis develops. Fistulas appear in the perianal region. In the absence of Stromectol treatment, mortality reaches 50%. The defeat of the genitourinary organs is rarely recorded. The infectious process spreads from the primary foci of actinomycosis located in the abdominal cavity.

When the abdominal wall is damaged, specific skin changes occur. Fistulas are located more often in the inguinal region. Genital actinomycosis is extremely rare. In 5% of cases, the liver is affected. Actinomycetes penetrate into the body most often in a direct way. The kidneys are rarely affected. The infection spreads from abscesses located in the abdominal cavity or small groove.

Fistulas arising from actinomycosis, despite excision and drainage, reappear. Rice. 15. Actinomycosis of the abdominal cavity. Thoracic actinomycosis is the third most common among all forms of the disease and ranges from 10 to 20%. Most often, the lungs and pleura are affected, less often soft tissues. Actinomycosis of the mediastinum rarely develops.

The paths of injury are both primary and secondary. In the primary lesion, the infection spreads with the secret of the nasopharynx, in the secondary - from the foci located in the face, neck and abdominal organs. With hematogenous dissemination, the mortality from the disease reaches 50%.

The infiltrate spreads towards the periphery, affecting the pleura, chest wall and skin, which acquires a purple-cyanotic color. On palpation of the swelling, a strong burning pain appears. With suppuration of the infiltrate, fistulas are formed. In the purulent contents in large quantities are druses of pathogens. Fistulas often communicate with the bronchi. The disease is severe. Without adequate treatment, patients die.

Thoracic actinomycosis develops gradually. Initially, subfebrile body temperature and weakness appear. Then a dry cough, then with sputum, often tasting like honey and smelling of earth. The disease proceeds for a long time under the guise of bronchitis, pneumonia and pleurisy.