2013
DOI: 10.1007/s00508-013-0471-7
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The polymicrobial Actinomyces naeslundii and Pseudomonas aeruginosa sepsis in a patient with ulcerative colitis 2 months after colonoscopy

Abstract: We describe a case of an abrupt onset of polymicrobial Actinomyces naeslundii/Pseudomonas aeruginosa sepsis in a patient with a previously silent abdominal actinomycosis, developed 2 months after colonoscopy when the diagnosis of a left-sided ulcerative colitis was established. Prolonged high-dose ceftriaxone therapy was clinically effective, albeit accompanied by the development of a reversible pseudocholelithiasis that persisted for 5 months.

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Cited by 7 publications
(4 citation statements)
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“…Several Actinomyces species have been detected in blood, including A. funkei (244), A. georgiae (64,175), A. graevenitzii (245), A. massiliensis (246), A. naeslundii (10,64,247), A. neuii (107,119,207), A. odontolyticus (25,64,97,107), A. turicensis (64,175,178), and "A. viscosus" (107). An important source of Actinomyces bacteremias is the mouth in particular.…”
Section: Bacteremia/sepsismentioning
confidence: 99%
“…Several Actinomyces species have been detected in blood, including A. funkei (244), A. georgiae (64,175), A. graevenitzii (245), A. massiliensis (246), A. naeslundii (10,64,247), A. neuii (107,119,207), A. odontolyticus (25,64,97,107), A. turicensis (64,175,178), and "A. viscosus" (107). An important source of Actinomyces bacteremias is the mouth in particular.…”
Section: Bacteremia/sepsismentioning
confidence: 99%
“…Another facet in the pathogenesis of actinomycosis is the high propensity for polymicrobial infections (22,(27)(28)(29)(30). 95.5% of cases of human cervicofacial actinomycoses (n = 1997) were polymicrobial mixed infections (22).…”
Section: Discussionmentioning
confidence: 99%
“…Several Actinomyces species have been detected in blood [3,[11][12][13] and the isolation of Actinomyces spp. from sterile clinical specimens is, traditionally, always viewed as significant.…”
Section: Discussionmentioning
confidence: 99%