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What Does It Mean To Have Actinomyces Colonies Present In Tonsils?

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Posted on Thu, 23 Jun 2016
Question: Hi there

I have recently (after 10 months of not knowing what was wrong with me) had a tonsillectomy, the lab report showed actinomyces colonies present in my tonsils.
I have spoken to my doctor about this, who advised that it is a fungus and no further treatment in necessary, however, everywhere I read on the internet states that actinomyces was once thought to be a fungus, however is actually a bacteria. I have read that this requires long term antibiotic treatment even after surgery to completely eradicate the bacteria.
Can you please shed some light on this, as everything I have read about actinomyces is different to what I have been told by my doctor.

Thank you.

doctor
Answered by Dr. Sumit Bhatti (14 hours later)
Brief Answer:
Actinomyces is a bacteria (previously thought to be a fungus).

Detailed Answer:
Hi,

Thank you for writing back.

1. It is true that actinomyces was earlier thought ot be fungus and is now classified as a bacteria.

2. Actinomyces bacteria a ubiquitous (present everywhere) and even in the normal bacterial flora of the throat.

3. Actinomyces bacteria tend to cause chronic infections if they get a chance to invade tissue.

4. You can take a long term course of the penicillin group of antibiotics. This will eradicate any chronic Actinomyces infection, however there is no conclusive method to prove if it is just a normal commensal or an opportunistic infection. Also check if any culture and antibiotic sensitivity was done.

5. Let me know the progress.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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What Does It Mean To Have Actinomyces Colonies Present In Tonsils?

Brief Answer: Actinomyces is a bacteria (previously thought to be a fungus). Detailed Answer: Hi, Thank you for writing back. 1. It is true that actinomyces was earlier thought ot be fungus and is now classified as a bacteria. 2. Actinomyces bacteria a ubiquitous (present everywhere) and even in the normal bacterial flora of the throat. 3. Actinomyces bacteria tend to cause chronic infections if they get a chance to invade tissue. 4. You can take a long term course of the penicillin group of antibiotics. This will eradicate any chronic Actinomyces infection, however there is no conclusive method to prove if it is just a normal commensal or an opportunistic infection. Also check if any culture and antibiotic sensitivity was done. 5. Let me know the progress. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.