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Volume 9, Number 12—December 2003

Dispatch

Actinomyces Odontolyticus Bacteremia

Lawrence A. Cone*†Comments to Author , Millie M. Leung†, and Joel Hirschberg*†
Author affiliations: *Eisenhower Medical Center, Rancho Mirage, California, USA; and; †Harbor-University of California at Los Angeles Medical Center, Torrance, California, USA

Main Article

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.

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