“…Presumptive identification of these microorganisms is based on their morphology (clumping in liquid culture, white colonies with a domed surface or molar tooth-shaped morphology on solid media, which may become irregular after an extended incubation time), Gram-stain morphology, acid-fast negativity, indole-negativity, and metronidazole-resistance [8,67,73]. Additional (species-level) identification may be performed in tertiary-care centers or anaerobic reference laboratories, using biochemical testing methods (e.g., in-house biochemical panels, API 20A, VITEK 2 ANC card), gas-liquid chromatography, molecular methods (DNA–DNA hybridization, PCR, 16S rRNA gene sequencing, and fluorescence in situ hybridization), and MALDI-TOF MS [51,74,75,76,77,78]. Serology is of no relevance in the diagnosis of actinomycosis [5,21,41].…”