唾液腺(Salivary Glands)

Actinomycosis

Gram(+) anaerobic bacteria, Actinomyces israelii -> cultureはanaerobicで取る。

Tx => up to several months or to a year. 何故そんなに長い期間を要するかと言うと、「slow response due to relatively avascular lesions (Bush & Vazquez-Pertejo, 2023)」ということのようです。

Refereces

Bush, L. M., & Vazquez-Pertejo, M. T. (2023). Actinomycosis. Merck Manuals. https://www.merckmanuals.com/professional/infectious-diseases/anaerobic-bacteria/actinomycosis#:~:text=Most%20patients%20with%20actinomycosis%20respond,symptoms%20and%20signs%20have%20resolved.

Buttaro, T. M., Polgar-Bailey, P., Sandberg-Cook, J., & Trybulski, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). Elsevier.