Division of Infectious Diseases, University of Toledo College of Medicine, Toledo, OH.
Department of Surgery, Division of Plastic Surgery, University of Toledo College of Medicine, Toledo, OH.
Wounds. 2023 Feb;35(2):E88-E89. doi: 10.25270/wnds/22023.
Actinomyces is a common genus of bacteria that is typically found in the oral cavity, gastrointestinal tract, and genitourinary tract, as well as on the skin. Gleimia europaea (formerly A europaeus) is a facultative anaerobic gram-positive rod that has been well associated with abscesses of the groin, axilla, and breast, as well as with decubitus ulcer. Infection with this species usually involves multiple abscesses communicating through sinus tracts. Treatment typically requires a prolonged course of penicillin or amoxicillin (up to 12 months).
A 62-year-old male patient presented with a PI with fistulous tract and tunneling infected with Actinomyces, which was successfully treated with amoxicillin-clavulanic acid.
The outcomes in this case support the use of surgical debridement, meticulous wound care, and appropriate antibiotic coverage to achieve accelerated wound healing of sacral PI with actinomycotic involvement.
放线菌是一种常见的细菌属，通常存在于口腔、胃肠道和泌尿生殖道，以及皮肤中。Gleimia europaea（以前称为 A. europaeus）是一种兼性厌氧革兰阳性杆菌，与腹股沟、腋窝和乳房脓肿以及褥疮溃疡密切相关。该物种的感染通常涉及多个脓肿通过窦道相通。治疗通常需要长时间使用青霉素或阿莫西林（长达 12 个月）。
一名 62 岁男性患者出现臀部窦道和隧道感染放线菌的 PI，经阿莫西林克拉维酸治疗后成功治愈。
本病例的结果支持采用手术清创、细致的伤口护理和适当的抗生素覆盖来加速有放线菌参与的骶部 PI 的伤口愈合。
