Foot and Ankle International
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presents
Wheeless' Textbook of Orthopaedics

Actinomyces bovis





  - enters thru an abrasion on the skin, associatted w/ cattle, swine ect;
  - a granuloma occurs that resembles TB, and a sinus formation results;
  - the infection may be resent to treatment;
  - treatment includes penicillin and potassium iodide;
  - chronic suppurative disease that is notorious for its assoc w/ draining sinuses.;
  - exudate contains characteristic sulfur granules, which appear as small, sand-like
        grains of tissue;
  - infection spreads and destroys tissue by local extension and, less
        frequently, by hematogenous dissemination;
  - lesion similar to actinomycosis can be caused by closely related
      organisms;
  - gram-positive filamentous bacteria that are 1 microm in diameter and demonstrate           true branching.
  - obligate or facultative anaerobes and grow slowly.




Original Text by Clifford R. Wheeless, III, MD.