Document Detail

Disseminated infection due to Actinomyces meyeri: case report and review.
MedLine Citation:
PMID:  8729199     Owner:  NLM     Status:  MEDLINE    
Actinomyces meyeri is rarely isolated in cases of actinomycosis. We present a case of disseminated actinomycosis due to A. meyeri; the patient had an abscess of the lung, osteomyelitis of the tibia, and multiple skin abscesses. Cure was achieved with surgical debridement and administration of intravenous penicillin, followed by oral penicillin, for 1 year. A concomitant gram-negative bacillus, Actinobacillus actinomycetemcomitans, was also isolated. Review of the literature revealed only 26 well-documented cases of infection with A. meyeri. Male adults are mainly affected, and alcoholism is frequently the underlying condition in these patients. Associated bacteria were isolated in two-thirds of these cases. In contrast to other species of Actinomyces, A. meyeri often causes pulmonary infection and shows a tendency for hematogenous dissemination. Even though multiple organs are involved, the outcome for these patients is excellent when penicillin is administered for several months and surgical procedures are performed when necessary.
C Apothéloz; C Regamey
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  22     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-10-23     Completed Date:  1996-10-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  621-5     Citation Subset:  IM    
Service de Médecine, Hôpital Cantonal, Fribourg, Switzerland.
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MeSH Terms
Abscess / microbiology
Actinomycosis / diagnosis*,  drug therapy
Lung Abscess / microbiology
Middle Aged
Osteomyelitis / microbiology
Penicillins / therapeutic use
Skin Diseases, Bacterial / microbiology
Tomography, X-Ray
Tomography, X-Ray Computed
Reg. No./Substance:

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