title: Epidural abscess and osteomyelitis due to Actinobacillus actinomycetemcomitans.
abstract: Actinobacillus actinomycetemcomitans is a microaerophilic, fastidious Gram-negative rod that most commonly causes periodontitis and odontogenic infections. We report the first case of an epidural abscess and osteomyelitis due to this organism resulting from self-extraction of carious teeth. The patient responded to surgical debridement and prolonged antimicrobial therapy with intravenous ceftriaxone.
authors.affiliation: Department of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University and Northwestern Memorial Hospital, Chicago, IL, USA. s-patel4 @northwestern.edu
authors.forename: Shilpa Majmudar
authors.initials: SM
authors.lastname: Patel
authors.forename: Jae Hyun
authors.initials: JH
authors.lastname: Mo
authors.forename: Matthew T
authors.initials: MT
authors.lastname: Walker
authors.forename: Brian
authors.initials: B
authors.lastname: Adley
authors.forename: Gary A
authors.initials: GA
authors.lastname: Noskin
mesh_terms: D000189:Actinobacillus Infections; D000368:Aged; D016976:Aggregatibacter actinomycetemcomitans / Q000302:isolation & purification* / Q000472:pathogenicity; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D020802:Epidural Abscess / Q000382:microbiology* / Q000628:therapy; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000382:microbiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone