Actinomyces turicensis Bacteremia Secondary to Pyometra

Intern Med. 2015;54(21):2775-7. doi: 10.2169/internalmedicine.54.4637. Epub 2015 Nov 1.

Abstract

We herein present a rare case of Actinomyces turicensis bacteremia that was caused by pyometra. The patient was successfully treated with transvaginal drainage and antibiotic therapy. A literature review in MEDLINE showed that there have been only 8 previously reported cases of A. turicensis bacteremia. This infection frequently occurs in patients with visceral abscesses, and blood culture examinations usually reveal a polymicrobial pattern. However, the prognosis of such patients has been reported to generally be benign. Due to difficulties in performing bacterial identification and the wide-spectrum clinical pictures associated with this bacteremia, no comprehensive understanding of the clinical features of each Actinomyces species has yet been established.

Publication types

  • Case Reports

MeSH terms

  • Abscess / complications*
  • Abscess / microbiology
  • Actinomyces / genetics
  • Actinomyces / isolation & purification*
  • Actinomycosis / etiology*
  • Actinomycosis / microbiology
  • Aged, 80 and over
  • Ampicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Bacteremia / microbiology
  • DNA, Bacterial / isolation & purification
  • Drainage / methods*
  • Female
  • Humans
  • Pyometra / complications*
  • RNA, Ribosomal, 16S / isolation & purification
  • Rare Diseases
  • Sulbactam / therapeutic use
  • Treatment Outcome
  • Vaginal Discharge / microbiology

Substances

  • Anti-Bacterial Agents
  • DNA, Bacterial
  • RNA, Ribosomal, 16S
  • Ampicillin
  • Sulbactam