Epidural abscess and osteomyelitis due to Actinobacillus actinomycetemcomitans.
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.
Patel
Shilpa Majmudar
SM
Department of Medicine, Division of Infectious Diseases, Feinberg School of Medicine, Northwestern University and Northwestern Memorial Hospital, Chicago, IL, USA. s-patel4 @northwestern.edu
Mo
Jae Hyun
JH
Walker
Matthew T
MT
Adley
Brian
B
Noskin
Gary A
GA
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
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone