Question:

What is the first line therapy for thoracic and/or abdominal forms of actinomycosis?
1. Penicillin
2. Tetracycline
3. Minocycline
4. Clindamycin
5. Erythromycin





Answer:

The correct answer for the question "What is the first line therapy for thoracic and/or abdominal forms of actinomycosis?" is:

1. Penicillin



Explanation

1. The suggested treatment for thoracic and/or abdominal forms of actinomycosis is 4-6 weeks of intravenous penicillin, 3-4 million units intravenously every four hours, followed by an oral regimen or penicillin or amoxicillin for 6-12 months.

2. Tetracycline is not first line therapy for actinomycosis. However, it is the preferred antibiotic for individuals with penicillin allergy

3. Minocycline is not the first line therapy for actinomycosis.

4. Clindamycin is not the first line therapy for actinomycosis.

5. Erythromycin is not the first line therapy for actinomycosis.



From the manuscript:
Esophageal Actinomycosis: A Case Report and Review of Radiographic Findings
Radiology Case. 2009 Dec; 3(12):44-48


This article belongs to the GI section.




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From the manuscript

Esophageal Actinomycosis: A Case Report and Review of Radiographic Findings

Free full text article: Esophageal Actinomycosis: A Case Report and Review of Radiographic Findings

Abstract
Esophageal Actinomycosis is a rare disease with only two previous reports in the Radiology literature. We present a 27 year-old African American male with a past medical history of a renal transplant for renal disease secondary to lupus who presented with odynophagia. The computed tomography and barium swallow findings are presented as well as a differential diagnosis of infectious esophageal diseases.






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