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Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic Patient

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White, Sarah E. and Woolley, Stephen (2018) 'Actinomyces europaeus Isolated from a Breast Abscess in a Penicillin-Allergic Patient'. Case Reports in Infectious Diseases, Vol 2018, Issue 6708614.

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Abstract

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.

Item Type: Article
Subjects: QV Pharmacology > Anti-Bacterial Agents. Tissue Extracts > QV 354 Penicillins
QW Microbiology and Immunology > Bacteria > QW 125 Actinibacteria, Actinomycetales.
WC Communicable Diseases > Infection. Bacterial Infections > General Infection > WC 195 Infection. Cross infection. Laboratory infection
WD Disorders of Systemic, Metabolic or Environmental Origin, etc > Metabolic Diseases > General Metabolic Diseases > WD 320 Drug hypersensitivity
WP Gynecology > Breast > WP 800 General works
Digital Object Identifer (DOI): https://doi.org/10.1155/2018/6708614
SWORD Depositor: JISC Pubrouter
Depositing User: Stacy Murtagh
Date Deposited: 21 Jun 2018 09:07
Last Modified: 21 Jun 2018 09:07
URI: http://archive.lstmed.ac.uk/id/eprint/8802

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