Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic Patient
This is a case of Actinomyces europaeus in the breast abscess of a penicillin-allergic woman. The mainstay of treatment for actinomycosis is penicillin, and there is a lack of literature describing nonpenicillin treatment options. A 69-year-old woman presented acutely with a breast abscess which was...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/6708614 |
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| author | Sarah E. White Stephen D. Woolley |
| author_facet | Sarah E. White Stephen D. Woolley |
| author_sort | Sarah E. White |
| collection | DOAJ |
| description | This is a case of Actinomyces europaeus in the breast abscess of a penicillin-allergic woman. The mainstay of treatment for actinomycosis is penicillin, and there is a lack of literature describing nonpenicillin treatment options. A 69-year-old woman presented acutely with a breast abscess which was managed with incision and drainage and antibiotic therapy to good response. 21 days after presentation, Actinomyces were grown from the culture of pus, so the patient was recalled and more rigorous treatment and follow-up were initiated. The penicillin allergy led to difficulty in the identification of an appropriate antimicrobial agent that was also logistically feasible to be given on an outpatient IV basis. IV tigecycline followed by oral clarithromycin was found to be effective treatment. |
| format | Article |
| id | doaj-art-12f5dc8a41b948fd99c17e745003b1a1 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-12f5dc8a41b948fd99c17e745003b1a12025-02-03T06:10:58ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/67086146708614Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic PatientSarah E. White0Stephen D. Woolley1Foundation Programme, Royal Liverpool University Hospital, Liverpool, UKMedical Microbiology Department, Liverpool Clinical Laboratories, Royal Liverpool University Hospital, Liverpool, UKThis is a case of Actinomyces europaeus in the breast abscess of a penicillin-allergic woman. The mainstay of treatment for actinomycosis is penicillin, and there is a lack of literature describing nonpenicillin treatment options. A 69-year-old woman presented acutely with a breast abscess which was managed with incision and drainage and antibiotic therapy to good response. 21 days after presentation, Actinomyces were grown from the culture of pus, so the patient was recalled and more rigorous treatment and follow-up were initiated. The penicillin allergy led to difficulty in the identification of an appropriate antimicrobial agent that was also logistically feasible to be given on an outpatient IV basis. IV tigecycline followed by oral clarithromycin was found to be effective treatment.http://dx.doi.org/10.1155/2018/6708614 |
| spellingShingle | Sarah E. White Stephen D. Woolley Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic Patient Case Reports in Infectious Diseases |
| title | Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic Patient |
| title_full | Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic Patient |
| title_fullStr | Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic Patient |
| title_full_unstemmed | Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic Patient |
| title_short | Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic Patient |
| title_sort | actinomyces europaeus isolated from a breast abscess in a penicillin allergic patient |
| url | http://dx.doi.org/10.1155/2018/6708614 |
| work_keys_str_mv | AT sarahewhite actinomyceseuropaeusisolatedfromabreastabscessinapenicillinallergicpatient AT stephendwoolley actinomyceseuropaeusisolatedfromabreastabscessinapenicillinallergicpatient |