Bacteriemia por Actinomyces odontolyticus
Keywords:
actinomyces, venous thrombosis, edemaAbstract
History. A 47-year-old male, HIV negative. He reported fever and an injury on his right groin with signs of infection. He had injected himself cocaine on that area.
Tests. Blood cultures: A. odontolyticus. Computerized tomography: septic venous thrombosis with endoluminal gas in the common femoral vein, right iliac external and common femoral vein.
Evolution. The patient admitted on licking the needle prior to drug injection. Enoxaparin and amoxicilin-clavulanate were initiated.
Diagnosis. Bacteriemia and septic thrombophlebitis by A. odontolyticus.
Discussion. A. odontolyticus is a common pathogen in the oral cavity and systemic infections in immunocompetent patients are rare.
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Sander R, Fournier A, Mairal P, Borderias L. Pneumonia and empyema due to Actinomyces meyeri: case report of an 80 year-old patient and a literature review. Rev Esp Geriatr Gerontol. 2016; 51: 123-5.
Weiand D, Barlow G. The rising tide of bloodstream infections with Actinomyces species: bimicrobial infection with Actinomyces odontolyticus and Escherichia coli in an intravenous drug user. Oxf Med Case Reports. 2014; 2014: 156-8.
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Alfaro TM, Bernardo J, García H, Alves F, Carvalho L, Caseiro Alves F, et al. Organizing pneumonia due to actinomycosis: an undescribed association. Respiration. 2011; 81: 433-6.
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Copyright (c) 2016 L Ordieres-Ortega, I García-Fernández-Bravo, P Demelo-Rodríguez, E Cervilla-Muñoz, LA Álvarez-Sala
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