Journal article
Mixed Actinomyces israelii and Aggregatibacter actinomycetemcomitans infection causing empyema necessitatis and multiple skin abscesses in an immunocompetent patient
BMJ case reports, Vol.12(9), p.e230287
09/24/2019
DOI: 10.1136/bcr-2019-230287
PMID: 31551318
Abstract
A 45-year-old- man presented with left chest wall pain, swelling and cough. Over a 2-month period he developed abscesses in the right foot, right anterior thigh, left buttock and left chest. Incision and drainage of the soft tissue abscesses and video-assisted thoracoscopic surgery to drain the loculated empyema contiguous with the chest wall abscess were performed as surgical management. Gram stain showed beaded Gram-positive rods and the culture initially grew
Pathological evaluation of the pleura showed sulfur granules and organisms consistent with
on Gomori methenamine silver stain;
was recovered in culture with extended incubation. The patient was treated for 3 weeks with ceftriaxone and oral metronidazole, followed by oral amoxicillin. Culture of
with other findings consistent with actinomycosis warrants 6-12 months of antibiotic therapy.
Details
- Title: Subtitle
- Mixed Actinomyces israelii and Aggregatibacter actinomycetemcomitans infection causing empyema necessitatis and multiple skin abscesses in an immunocompetent patient
- Creators
- Takaaki Kobayashi - University of Iowa Hospitals and ClinicsEvgeny Arshava - University of Iowa Hospitals and ClinicsBradley Ford - University of Iowa Hospitals and ClinicsPoorani Sekar - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- BMJ case reports, Vol.12(9), p.e230287
- DOI
- 10.1136/bcr-2019-230287
- PMID
- 31551318
- NLM abbreviation
- BMJ Case Rep
- ISSN
- 1757-790X
- eISSN
- 1757-790X
- Language
- English
- Date published
- 09/24/2019
- Academic Unit
- Infectious Diseases; Pathology; Cardiothoracic Surgery; Internal Medicine
- Record Identifier
- 9984186502602771
Metrics
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