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PART 8: Infectious Diseases
SECTION 7   Miscellaneous Bacterial Infections

163 Actinomycosis
Thomas A. Russo

Figure 163-1  Bisphosphonate-associated maxillary osteomyelitis due to A. viscosus. A sulfur granule is seen within the bone. (Reprinted with permission from NH Naik and TA Russo.  © 2009 University of Chicago Press.)
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Figure 163-2  Thoracic actinomycosis. A. A chest wall mass from extension of pulmonary infection. B. Pulmonary infection is complicated by empyema (open arrow) and extension to the chest wall (closed arrow). (Courtesy of Dr. C. B. Hsiao, Division of Infectious Diseases, Department of Medicine, State University of New York at...
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Figure 163-3  Hepatic-splenic actinomycosis. A. Computed tomogram showing multiple hepatic abscesses and a small splenic lesion due to A. israelii. Arrow indicates extension outside the liver.
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Figure 163-4  Computed tomogram showing pelvic actinomycosis associated with an intrauterine contraceptive device. The device is encased by endometrial fibrosis (solid arrow); also visible are paraendometrial fibrosis (open triangular arrowhead) and an area of suppuration (open...
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