Cell Walls with Mycolic Acids (often referred to as the "CMN group"):
Family Corynebacteriaceae
Family Mycobacteriaceae
Family Nocardiaceae:
Nocardia
RhodococcusCell Walls without Mycolic Acids:
Actinomadura
Rothia spp.
Cell Walls without Mycolic Acids:
Rothia spp.
Gram-positive bacteria that produce fungi-like structures include that include delicate filaments (often called hyphae or mycelia as per the similar structures produced by true fungi) and aerial filaments which may branch, fragment into spores, or become pigmented
Actinomyces are morphologically similar to Nocardia except that they Actinomyces are not acid-fast, lacking mycolic acids in the cell wall
Cause three major types of infections:
Actinomycosis is a chronic infection, both suppurative and granulomatous; characterized by pus-filled lesions (abscesses) and interconnecting sinus tracts that contain granules of microcolonies imbedded in tissue elements; ultimately with bone involvement
Nocardiosis can be an acute infection but more often presents as a chronic suppurative infection, primarily a bronchopulmonary disease with predilection for secondary spread through blood to central nervous system or skin; occasionally a primary cutaneous or ocular infection or mycetoma
Actinomycetoma (actinomycotic mycetoma) is a chronic localized subcutaneous infection characterized by swelling, pus, formation of sinus tracts, with limited granulomas draining into sinuses (not referring to nasal sinuses)
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