Clinical Characteristics of Bacteremia.

: species are part of the normal flora of humans and rarely cause disease. It is an uncommon cause of disease in humans. The clinical features of actinomycosis have been described, and various anatomical sites (such as face, bones and joints, respiratory tract, genitourinary tract, digestive tract, central nervous system, skin, and soft tissue structures) can be affected. It is not easy to identify actinomycosis because it sometimes mimics cancer due to under-recognition. As new diagnostic methods have been applied, can now more easily be identified at the species level. Recent studies have also highlighted differences among species. We report a case of bacteremia with cutaneous actinomycosis. : A 66 years old male developed fever for a day with progressive right lower-leg erythematous swelling. Blood culture isolates yielded species, which was identified as by sequencing of the 16S rRNA gene. In addition, we searched for the term or actinomycosis cross-referenced with bacteremia or "blood culture" or "blood stream" from January 2010 to July 2020. The infectious diseases caused by species of from January 1977 to July 2020 were also reviewed. : The patient recovered well after intravenous ampicillin treatment. Poor oral hygiene was confirmed by dental examination. There were no disease relapses during the following period. Most cases of actinomycosis can be treated with penicillin. However, clinical alertness, risk factor evaluation, and identification of species can prevent inappropriate antibiotic or intervention. We also compiled a total of 18 cases of bacteremia after conducting an online database search. : In summary, we describe a case of fever and progressive cellulitis. species was isolated from blood culture, which was further identified as by 16S rRNA sequencing. The cellulitis improved after pathogen-directed antibiotics. Evaluation of risk factors in patients with bacteremia and further identification of the species are recommended for successful treatment.