Definition
Actinomycosis is a long-term (chronic) bacterial infection that commonly affects the face and neck.
Alternative Names
Lumpy jaw
Causes
Actinomycosis is usually caused by bacterium called Actinomyces israelii. This is a common and organism found in the nose and throat. It normally does not cause disease.
Because of the bacteria’s normal location in the nose and throat, actinomycosis most commonly affects the face and neck. The infection can sometimes occur in the chest (
Symptoms occur when the bacteria enter the tissues of the face after trauma, surgery, or infection. Common triggers include
Once in the tissue, the bacteria causes an abscess, producing a hard, red to reddish-purple lump, often on the jaw, from which comes the condition’s common name, “lumpy jaw.”
Eventually, the abscess breaks through the skin surface to produce a draining sinus tract.
Symptoms
- Draining sores in the skin, especially on the chest wall from lung infection with Actinomyces
- Fever
- Minimal or no pain
- Swelling or a hard, red to reddish-purple lump on the face or upper neck
- Weight loss
Exams and Tests
The health care provider will perform a physical exam and ask questions about your symptoms.
Tests that may be done to check for presence of the bacteria include:
- Culture of the tissue or fluid
- Examination of drained fluid under a microscope
Treatment
Treatment of actinomycosis usually requires antibiotics for several months to a year. Surgical drainage or removal of the affected area (lesion) may be needed. If the condition is related to an IUD, the device must be removed.
Outlook (Prognosis)
Full recovery can be expected with treatment.
Possible Complications
In rare cases,
When to Contact a Medical Professional
Call your health care provider if you develop symptoms of this infection. Beginning treatment promptly helps quicken the recovery.
Prevention
Good
