Case Report: Pelvic Actinomyces in an Adolescent with Microperforate Hymen

Elborno, Dana; Pandya, Lopa K.; Chor, Julie

doi:10.1016/j.jpag.2016.01.079

Cited by 2 publications

(2 citation statements)

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“…The most common form of genitourinary tract actinomycosis is pelvic actinomycosis in young, fertile women using intrauterine contraceptive devices (IUDs), but nowadays, according to the introduction of modern microbiological techniques, some other clinical presentations have also been described, such as primary bladder actinomycosis and testicular actinomycosis [82,83]. Different strains of Actinomyces species found normally in the human (female) urogenital tract include: A. meyeri, A. neuii, Actinomyces radingae, Actinomyces turicensis, and Actinomyces urogenitalis [84][85][86][87][88]. Colonization of the female genital tract by these Actinomyces spp.…”

Section: Infections Of the Female Genital Tractmentioning

confidence: 99%

“…When IUD-associated actinomycosis is established, abscess formation in the genital tract is frequent, and the spread of bacteria from pelvic sites to the abdominal region or vice versa can lead to abdomino-pelvic actinomycosis, creating dense adhesions with contiguous structures, including the small bowel, causing fibrosis, fistulas, and peritonitis [90,91]. Formerly A. israelii was one of the most common species involved in pelvic actinomycosis, but the pathogenic role of many novel species has been recently described [85][86][87][88]. According to the review of Fiorino in 1996, the recovery of <100 actinomycotic specimens between 1926 and 1995-most of those being tubo-ovarian abscesses-indicated that the risk of pelvic actinomycosis in relation to the use of IUDs is very low [92].…”

Section: Infections Of the Female Genital Tractmentioning

confidence: 99%

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The Pathogenic Role of Actinomyces spp. and Related Organisms in Genitourinary Infections: Discoveries in the New, Modern Diagnostic Era

Gajdács

Urbán

2020

Antibiotics

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Actinomycosis is a chronic, suppurative, granulomatous infectious disease, caused by different species of Actinomyces bacteria. To date, 26 validly published Actinomyces species have been described as part of a normal human microbiota or from human clinical specimens. Due to the rapid spread of new, modern diagnostic procedures, 13 of 26 of these species have been described in this century and the Actinomycetaceae family has undergone several taxonomic revisions, including the introduction of many novel species termed Actinomyces-like organisms (ALOs). There is scarce data available on the role of these novel bacterial species in various infectious processes in human medicine. The aim of this review is to provide a comprehensive overview of Actinomyces and closely related organisms involved in human diseases—with a special focus on newly described species—in particular their role in genitourinary tract infections in females and males.

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Section: Infections Of the Female Genital Tractmentioning

confidence: 99%

Section: Infections Of the Female Genital Tractmentioning

confidence: 99%

The Pathogenic Role of Actinomyces spp. and Related Organisms in Genitourinary Infections: Discoveries in the New, Modern Diagnostic Era

Gajdács

Urbán

2020

Antibiotics

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Brain abscess caused by Actinomyces turicensis in a non-immunocompromised adult patient: a case report and systematic review of the literature

Imeneo,

Rindi,

Di Lorenzo

et al. 2024

BMC Infect Dis

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Background Actinomyces turicensis is rarely responsible of clinically relevant infections in human. Infection is often misdiagnosed as malignancy, tuberculosis, or nocardiosis, therefore delaying the correct identification and treatment. Here we report a case of a 55-year-old immunocompetent adult with brain abscess caused by A. turicensis. A systematic review of A. turicensis infections was performed. Methods A systematic review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The databases MEDLINE, Embase, Web of Science, CINAHL, Clinicaltrials.gov and Canadian Agency for Drugs and Technology in Health (CADTH) were searched for all relevant literature. Results Search identified 47 eligible records, for a total of 67 patients. A. turicensis infection was most frequently reported in the anogenital area (n = 21), causing acute bacterial skin and skin structure infections (ABSSSI) including Fournier’s gangrene (n = 12), pulmonary infections (n = 8), gynecological infections (n = 6), cervicofacial district infections (n = 5), intrabdominal or breast infections (n = 8), urinary tract infections (n = 3), vertebral column infections (n = 2) central nervous system infections (n = 2), endocarditis (n = 1). Infections were mostly presenting as abscesses (n = 36), with or without concomitant bacteremia (n = 7). Fever and local signs of inflammation were present in over 60% of the cases. Treatment usually involved surgical drainage followed by antibiotic therapy (n = 51). Antimicrobial treatments most frequently included amoxicillin (+clavulanate), ampicillin/sulbactam, metronidazole or cephalosporins. Eighty-nine percent of the patients underwent a full recovery. Two fatal cases were reported. Conclusions To the best of our knowledge, we hereby present the first case of a brain abscess caused by A. turicensis and P. mirabilis. Brain involvement by A. turicensis is rare and may result from hematogenous spread or by dissemination of a contiguous infection. The infection might be difficult to diagnose and therefore treatment may be delayed. Nevertheless, the pathogen is often readily treatable. Diagnosis of actinomycosis is challenging and requires prompt microbiological identification. Surgical excision and drainage and antibiotic treatment usually allow for full recovery.

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Case Report: Pelvic Actinomyces in an Adolescent with Microperforate Hymen

Cited by 2 publications

References 0 publications

The Pathogenic Role of Actinomyces spp. and Related Organisms in Genitourinary Infections: Discoveries in the New, Modern Diagnostic Era

The Pathogenic Role of Actinomyces spp. and Related Organisms in Genitourinary Infections: Discoveries in the New, Modern Diagnostic Era

Brain abscess caused by Actinomyces turicensis in a non-immunocompromised adult patient: a case report and systematic review of the literature

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