title: The polymicrobial Actinomyces naeslundii and Pseudomonas aeruginosa sepsis in a patient with ulcerative colitis 2 months after colonoscopy.
abstract: We describe a case of an abrupt onset of polymicrobial Actinomyces naeslundii/Pseudomonas aeruginosa sepsis in a patient with a previously silent abdominal actinomycosis, developed 2 months after colonoscopy when the diagnosis of a left-sided ulcerative colitis was established. Prolonged high-dose ceftriaxone therapy was clinically effective, albeit accompanied by the development of a reversible pseudocholelithiasis that persisted for 5 months.
authors.affiliation: University of Zagreb School of Medicine, University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Mirogojska 8, 10000, Zagreb, Croatia, mbalen@bfm.hr.
authors.forename: Mirjana Balen
authors.initials: MB
authors.lastname: Topić
authors.forename: Boško
authors.initials: B
authors.lastname: Desnica
authors.forename: Ninoslava
authors.initials: N
authors.lastname: Vicković
authors.forename: Tomislava
authors.initials: T
authors.lastname: Skuhala
authors.forename: Kristijan
authors.initials: K
authors.lastname: Bayer
authors.forename: Suzana
authors.initials: S
authors.lastname: Bukovski
mesh_terms: D000196:Actinomycosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D016470:Bacteremia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D002443:Ceftriaxone / Q000008:administration & dosage; D003093:Colitis, Ulcerative / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002443:Ceftriaxone