A case report of necrotizing fasciitis with growth of Actinomyces europaeus and Actinotignum schaalii

Kus, Nicole J.; Kim, Bryan Jordan; Ross, Howard M.

doi:10.1093/jscr/rjz286

Cited by 12 publications

(5 citation statements)

References 8 publications

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“…In 2019, Kus et al [4] documented the first case report of A. europaeus as a primary causal agent of necrotizing fasciitis. Two years following the initial case report, we have now encountered an additional case of necrotizing fasciitis caused by A. europaeus .…”

Section: Discussionmentioning

confidence: 99%

Actinomyces europaeus as an emerging cause of necrotizing fasciitis

Anthony

Douthit

Foster

2023

IDCases

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Section: Discussionmentioning

confidence: 99%

Actinomyces europaeus as an emerging cause of necrotizing fasciitis

Anthony

Douthit

Foster

2023

IDCases

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“…Other clinical manifestations of A. schaalii infection include bacteremia, Fournier gangrene, infective endocarditis, native aortic endocarditis, vertebral osteomyelitis, and necrotizing fasciitis [ 13 , 21 , 22 , 23 , 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Actinotignum schaalii Abscess in a Patient with Common Variable Immunodeficiency

Panganiban

Gupta

2020

Pathogens

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Actinotignum schaalii is an anaerobic, gram-positive commensal organism of the urogenital tract. A. schaalii typically causes urinary tract infections, predominantly in the elderly. Here, we describe the first case of A. schaalii infection presenting as cellulitis and abscess in a patient with common variable immunodeficiency. The patient was successfully treated with an incision and drainage and a prolonged antibiotic course. A. schaalii infection should be considered in sterile abscesses, and anaerobic cultures should be requested in the absence of positive routine cultures.

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“…They can present clinically with persistent ear infections and recurrent soft tissue infections (208-211), as well as abscesses of the neck, back, feet, brain, and genital area in both men and women of various ages (182,185,187,206,208,(212)(213)(214). Recent cases have linked G. europaea with necrotizing fasciitis (210,211) with a recent case report of rapid infection progression and Fournier's Gangrene (215). Due to ineffective identification techniques, taxon reclassification, and inadequate research, Gleimia species remain misunderstood with few reports concerning their pathophysiology.…”

Section: Gleimiamentioning

confidence: 99%

Beyond the usual suspects: emerging uropathogens in the microbiome age

Moreland,

Choi,

Geaman

et al. 2023

Front. Urol.

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The advent of sensitive enhanced culture (metaculturomic) and culture-independent DNA-based (metagenomic) methods has revealed a rich collection of microbial species that inhabit the human urinary tract. Known as the urinary microbiome, this community of microbes consists of hundreds of distinct species that range across the entire phylogenetic spectrum. This new knowledge clashes with standard clinical microbiology laboratory methods, established more than 60 years ago, that focus attention on a relatively small subset of universally acknowledged uropathogens. Increasing reports support the hypothesis that this focus is too narrow. Single uropathogen reports are common in women with recurrent urinary tract infection (UTI), although wider disruption of their urinary microbiome is likely. Typical “UTI” symptoms occur in patients with “no growth” reported from standard culture and sometimes antibiotics improve these symptoms. Metaculturomic and metagenomic methods have repeatedly detected fastidious, slow growing, and/or anaerobic microbes that are not detected by the standard test in urine samples of patients with lower urinary tract symptoms. Many of these microbes are also detected in serious non-urinary tract infections, providing evidence that they can be opportunistic pathogens. In this review, we present a set of poorly understood, emerging, and suspected uropathogens. The goal is to stimulate research into the biology of these microbes with a focus on their life as commensals and their transition into pathogens

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A case report of necrotizing fasciitis with growth of Actinomyces europaeus and Actinotignum schaalii

Cited by 12 publications

References 8 publications

Actinomyces europaeus as an emerging cause of necrotizing fasciitis

Actinomyces europaeus as an emerging cause of necrotizing fasciitis

Actinotignum schaalii Abscess in a Patient with Common Variable Immunodeficiency

Beyond the usual suspects: emerging uropathogens in the microbiome age

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