title: Actinomyces turicensis Bacteremia Secondary to Pyometra.
abstract: We herein present a rare case of Actinomyces turicensis bacteremia that was caused by pyometra. The patient was successfully treated with transvaginal drainage and antibiotic therapy. A literature review in MEDLINE showed that there have been only 8 previously reported cases of A. turicensis bacteremia. This infection frequently occurs in patients with visceral abscesses, and blood culture examinations usually reveal a polymicrobial pattern. However, the prognosis of such patients has been reported to generally be benign. Due to difficulties in performing bacterial identification and the wide-spectrum clinical pictures associated with this bacteremia, no comprehensive understanding of the clinical features of each Actinomyces species has yet been established.
authors.affiliation: Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan.
authors.forename: Hideharu
authors.initials: H
authors.lastname: Hagiya
authors.forename: Hiroko
authors.initials: H
authors.lastname: Ogawa
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Kosuke
authors.initials: K
authors.lastname: Kimura
authors.forename: Kan
authors.initials: K
authors.lastname: Hasegawa
authors.forename: Fumio
authors.initials: F
authors.lastname: Otsuka
mesh_terms: D000038:Abscess / Q000150:complications* / Q000382:microbiology; D000190:Actinomyces / Q000235:genetics / Q000302:isolation & purification*; D000196:Actinomycosis / Q000209:etiology* / Q000382:microbiology; D000369:Aged, 80 and over; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000382:microbiology; D004269:DNA, Bacterial / Q000302:isolation & purification; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D055112:Pyometra / Q000150:complications*; D012336:RNA, Ribosomal, 16S / Q000302:isolation & purification; D035583:Rare Diseases; D013407:Sulbactam / Q000627:therapeutic use; D016896:Treatment Outcome; D019522:Vaginal Discharge / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial; D012336:RNA, Ribosomal, 16S; D000667:Ampicillin; D013407:Sulbactam