Volume 9, Number 12—December 2003
Dispatch
Actinomyces Odontolyticus Bacteremia
Lawrence A. Cone*†
, Millie M. Leung†, and Joel Hirschberg*†
, Millie M. Leung†, and Joel Hirschberg*†Table
Reported cases of Actinomyces odontolyticus infectiona
| Case | Y (Ref) | Disease | Age/Sex | Underlying disease | Presentation | Treatment |
|---|---|---|---|---|---|---|
| 1 |
(PR) |
Bacteremia |
62/F |
Acute myelogenous leukemia |
Fever |
Doxycycline |
| 2 |
(PR) |
Bacteremia |
69/F |
Vasculitis, immunosuppression |
Fever, chills |
Clindamycin |
| 3 |
1999
(25) |
Pericardial, pleural effusions |
68/M |
S/P resection malignant gastric polyp |
Fever, dyspnea |
Cefriaxone, amoxicillin |
| 4 |
1997
(24) |
Empyema |
50/M |
S/P pneumonectomy for tuberculosis and aspergilloma, alcoholism |
Fever, dyspnea, chest pain |
N/S |
| 5 |
1997
(23) |
Mediastinitis |
43/M |
Heart-lung transplant, immunosuppression |
Sternal wound drainage |
Penicillin |
| 6 |
1996
(23) |
Pneumonia |
61/M |
Lung transplant, immunosuppression |
Chest pain |
Penicillin |
| 7 |
1995
(22) |
Empyema |
40/M |
Chronic bronchitis, alcoholism |
Fever, chest pain, cough |
Penicillin |
| 8 |
1994
(21) |
Pneumonia, cutaneous abscess |
52/M |
Periodontal disease, alcoholism |
Fever, weight loss, cutaneous drainage |
Penicillin |
| 9 |
1993
(20) |
Thoracic |
N/S |
N/S |
N/S |
N/S |
| 10 |
1992
(19) |
Pneumonia |
52/F |
Bronchiectasis |
Fever, weight loss |
Imipenem, tetracycline |
| 11 |
1992
(18) |
Empyema |
38/F |
Periodontal disease |
Fever, chest pain, dyspnea, cough, weight loss |
Penicillin |
| 12 |
1990
(17) |
Pleural lesion, chest wall erosion, spinal and muscle abscesses |
58/F |
None |
Fever, chest pain, weight loss |
Penicillin, metronidazole |
| 13 |
1985
(16) |
Submaxillary gland |
65/M |
None |
Swelling of neck, lymphadenopathy |
Tetracycline |
| 14 |
1985
(16) |
Arm abscess |
47/M |
None |
Fever, swelling, erythema of arm |
Penicillin, gentamicin, ornidazole |
| 15 |
1985
(16) |
Pelvic infection |
30/F |
None |
Infected intrauterine device |
Device removed, metronidazole |
| 16 |
1985
(16) |
Pelvic abscess |
54/F |
Alcoholism |
Fever, pelvic pain |
Tobramycin |
| 17 |
1985
(16) |
Thumb abscess |
40/M |
None |
Fishbone injury to thumb |
Cephalothin |
| 18 |
1985
(16) |
Bacteremia |
19/M |
None |
Confusion, icterus, fever |
Penicillin, ornidazole |
| 19 |
1985
(15) |
Enterocutaneous fistula |
78/M |
Diverticulitis |
Fecal fistula, abdominal abscess |
Erythromycin |
| 20 |
1982
(14) |
Cholestasis |
43/F |
None |
Abdominal pain |
Doxycycline |
| 21 |
1979 (13) |
Pulmonary abscess |
61/F |
Rheumatoid arthritis, prednisone |
Fever, dyspnea, chest pain |
Tetracycline, clindamycin |
| 22 |
1979 (12) |
Brain abscess |
34/M |
None |
Headache, vomiting, fever |
Penicillin, metronidazole |
| 23 |
1977 (11) |
Empyema |
N/S |
N/S |
N/S |
N/S |
| 24 |
1977 (10) |
Cellulitis |
54/M |
None |
Cheek mass |
Penicillin |
| 25 | 1974 (9) | Thoracic wall abscess | 26/M | None | Subcutaneous chest mass | Clindamycin, penicillin |
a(PR), present report; F, woman; M, man; S/P, status post; N/S, not stated.
