Bacteraemia caused by Actinobaculum schaalii: An overlooked pathogen?
Actinobaculum schaalii is a uropathogen resistant to ciprofloxacin and trimethoprim-sulfamethoxazole. It requires a long culture time and specific conditions, and is therefore easily overgrown by other bacteria and regarded as part of the normal bacterial flora. We review 17 cases of A. schaalii bacteraemia, demonstrating its invasive potential. A. schaalii should always be ruled out as causative agent in patients with urinary tract infection or urosepticaemia with treatment failure.
From the 1 Infectious Diseases Unit, Department of Medicine Solna, Karolinska Institute.
Johanna
J
Sandlund
Martin
M
Glimåker
Anita
A
Svahn
Annelie
A
Brauner
D000191:Actinomycetaceae / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D000193:Actinomycetales Infections / Q000382:microbiology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016470:Bacteremia / Q000382:microbiology*; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D004275:DNA, Ribosomal / Q000737:chemistry / Q000235:genetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D017422:Sequence Analysis, DNA; D014552:Urinary Tract Infections / Q000150:complications; D055815:Young Adult
D004269:DNA, Bacterial; D004275:DNA, Ribosomal; D012336:RNA, Ribosomal, 16S
Actinobaculum schaalii; bacteraemia; urinary tract infection; urosepticaemia