Actinotignum schaalii infection: Challenges in diagnosis and treatment
J.M. Sahuquillo-Arce,
P. Suárez-Urquiza,
A. Hernández-Cabezas,
L. Tofan,
R. Chouman-Arcas,
M. García-Hita,
O. Sabalza-Baztán,
A. Sellés-Sánchez,
N. Lozano-Rodríguez,
J. Martí-Cuñat,
J.L. López-Hontangas
Affiliations
J.M. Sahuquillo-Arce
Servicio de Microbiología, Hospital Doctor Moliner, Serra, Spain; Corresponding author. Servicio de Microbiología, Torre A, Hospital Universitario y Politécnico La Fe, Avda. Fernando Abril Martorell 106, Valencia, 46026, Spain.
P. Suárez-Urquiza
Servicio de Microbiología, Hospital Universitari i Politècnic La Fe, Valencia, Spain
A. Hernández-Cabezas
Servicio de Microbiología, Hospital Universitari i Politècnic La Fe, Valencia, Spain
L. Tofan
Servicio de Análisis Clínicos, Hospital Universitari i Politècnic La Fe, Valencia, Spain
R. Chouman-Arcas
Servicio de Microbiología, Hospital Francesc de Borja, Gandia, Spain
M. García-Hita
Servicio de Microbiología, Hospital de la Vega Lorenzo Guirao, Cieza, Spain
O. Sabalza-Baztán
Servicio de Microbiología, Hospital General Universitari de Castelló, Castellón de la Plana, Spain
A. Sellés-Sánchez
Hospital General Universitario Santa Lucía, Cartagena, Spain
N. Lozano-Rodríguez
Servicio de Microbiología, Hospital General Universitari de Castelló, Castellón de la Plana, Spain
J. Martí-Cuñat
Servicio de Microbiología, Hospital Universitari i Politècnic La Fe, Valencia, Spain
J.L. López-Hontangas
Servicio de Microbiología, Hospital Universitari i Politècnic La Fe, Valencia, Spain
Actinotignum schaalii affects elderly people and is associated with individuals with urological-related predispositions, but can be found in a variety of locations, such as cutaneous, intraabdominal, genitourinary and surgical infections. Disseminated infections occur less frequently and are by and large related to urinary tract colonisation.This pathogen is often neglected due to growth requirements, especially in urinary tract infections. We present 107 Actinotignum schaalii isolated from genitourinary samples (80.4%), from skin and soft tissue infections (13.1%), from bone and deep tissue infection (4.7%) and from blood cultures (1.9%). The automated system Alfred 60/AST was paramount for the isolation of 77.6% of the UTI.All the isolates tested were susceptible to penicillin, ampicillin, linezolid, vancomycin, teicoplanin, rifampicin and tetracycline.In conclusion, we present a large series of Actinotignum schaalii infections. This pathogen is hard to isolate, and is resistant to commonly used empirical antimicrobials.
