Cell Walls with Mycolic Acids (often referred to as the "CMN group"):
Family Corynebacteriaceae
Family Mycobacteriaceae
Family Nocardiaceae:
Nocardia
Rhodococcus
Cell 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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