Actinomyces turicensis Necrotizing Soft-Tissue Infection of the Thigh in a Diabetic Male

被引:5
|
作者
Panwar, Kunal [1 ]
Duane, Therese M. [2 ]
Tessier, Jeffrey M. [3 ]
Patel, Khushbu [4 ]
Sanders, James M. [4 ]
机构
[1] Univ North Texas, Hlth Sci Ctr, Ft Worth, TX USA
[2] JPS Hlth Network, Dept Surg, Ft Worth, TX USA
[3] JPS Hlth Network, Dept Antimicrobial Stewardship, Ft Worth, TX USA
[4] JPS Hlth Network, Dept Pharm, Ft Worth, TX USA
关键词
Actinomyces; diabetes mellitus; necrotizing soft tissue infection; DIAGNOSIS; FASCIITIS; IDENTIFICATION; RESISTANCE; FEATURES;
D O I
10.1089/sur.2018.149
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Background: Necrotizing soft-tissue infections are a devastating infection that is rarely caused by Actinomyces spp. Case Report: A 45-year-old obese previously healthy male presented to the emergency department with diabetic ketoacidosis. The patient developed systemic signs of infections and right medial thigh pain subsequently diagnosed as a necrotizing soft-tissue infection. Successful treatment included prompt surgical intervention and initiation of broad-spectrum antimicrobial drugs. Conclusion: Actinomyces turicensis may be the pathogen causing certain necrotizing soft-tissue infections. Clinicians should consider the possibility that this organism represents a true pathogen and not colonization/contamination.
引用
收藏
页码:431 / 433
页数:3
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