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Actinobaculum schaalii, a new cause of knee prosthetic joint infection in elderly

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Abstract

Actinobaculum schaalii is an emerging pathogen particularly involved in urinary tract infection of elderly people and/or patient with urological risk factors of urinary tract infection. This microorganism is a difficult-to-diagnose pathogen and is rarely involved in systemic or deep infections. Here, we report the first case of prosthetic joint infection due to A. schaalii in an 84-year-old man with a benign prostatic hyperplasia associated with chronic retention of urine. This case underlines the importance to optimize the diagnosis of emerging uropathogens as A. schaalii, to prevent systemic infections, particularly in patients with orthopaedic implants.

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References

  1. Cattoir V, Varca A, Greub G, Prod’hom G, Legrand P, Lienhard R. In vitro susceptibility of Actinobaculum schaalii to 12 antimicrobial agents and molecular analysis of fluoroquinolone resistance. J Antimicrob Chemother. 2010;65:2514–7.

    Article  CAS  PubMed  Google Scholar 

  2. Bank S, Jensen A, Hansen TM, Søby KM, Prag J. Actinobaculum schaalii, a common uropathogen in elderly patients, Denmark. Emerg Infect Dis. 2010;16:76–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Lawson PA, Falsen E, Akervall E, Vandamme P, Collins MD. Characterization of some Actinomyces-like isolates from human clinical specimens: reclassification of Actinomyces suis (Soltys and Spratling) as Actinobaculum suis comb. nov. and description of Actinobaculum schaalii sp. nov. Int J Syst Bacteriol. 1997;47:899–903.

    Article  CAS  PubMed  Google Scholar 

  4. Könönen E, Wade WG. Actinomyces and related organisms in human infections. Clin Microbiol Rev. 2015;28:419–42.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Yassin AF, Spröer C, Pukall R, Schumann P. The status of the species Actinobaculum massiliense (Greub and Raoult 2006). Request for an opinion. Int J Syst Evol Microbiol. 2015;65:1102–3.

    Article  CAS  PubMed  Google Scholar 

  6. Cattoir V. Actinobaculum schaalii: review of an emerging uropathogen. J Infect. 2012;64:260–7.

    Article  PubMed  Google Scholar 

  7. Bank S, Cattoir V, Lienhard R, Grisold AJ, Thomsen TR, Reinhard M, et al. Recommendations for optimal detection and identification of Actinobaculum schaalii in urine. Acta Pathol. Microbiol Immunol Scand. 2014;122:1043–4.

    Article  Google Scholar 

  8. Beguelin C, Genne D, Varca A, Tritten M-L, Siegrist HH, Jaton K, et al. Actinobaculum schaalii: clinical observation of 20 cases. Clin Microbiol Infect. 2011;17:1027–31.

    Article  CAS  PubMed  Google Scholar 

  9. Haller P, Bruderer T, Schaeren S, Laifer G, Frei R, Battegay M, et al. Vertebral osteomyelitis caused by Actinobaculum schaalii: a difficult-to-diagnose and potentially invasive uropathogen. Eur J Clin Microbiol Infect Dis. 2007;26:667–70.

    Article  CAS  PubMed  Google Scholar 

  10. Hoenigl M, Leitner E, Valentin T, Zarfel G, Salzer HJF, Krause R, et al. Endocarditis caused by Actinobaculum schaalii, Austria. Emerg Infect Dis. 2010;16:1171–3.

    Article  PubMed  Google Scholar 

  11. Reinhard M, Prag J, Kemp M, Andresen K, Klemmensen B, Højlyng N, et al. Ten cases of Actinobaculum schaalii infection: clinical relevance, bacterial identification, and antibiotic susceptibility. J Clin Microbiol. 2005;43:5305–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Salvadó M, Plasencia V, Segura C, Gómez J, Medina MJ, Sáez-Nieto JA, et al. Infection due to Actinobaculum spp.: report of 12 patients in Spain. J Infect. 2013;66:107–9.

    Article  PubMed  Google Scholar 

  13. Sandlund J, Glimåker M, Svahn A, Brauner A. Bacteraemia caused by Actinobaculum schaalii: an overlooked pathogen? Scand J Infect Dis. 2014;46:605–8.

    Article  PubMed  Google Scholar 

  14. Tena D, Fernández C, Lago MR, Arias M, Medina MJ, Sáez-Nieto JA. Skin and soft-tissue infections caused by Actinobaculum schaalii: report of two cases and literature review. Anaerobe. 2014;28:95–7.

    Article  PubMed  Google Scholar 

  15. Tschudin-Sutter S, Frei R, Weisser M, Goldenberger D, Widmer AF. Actinobaculum schaalii—invasive pathogen or innocent bystander? A retrospective observational study. BMC Infect Dis. 2011;11:289.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Vanden Bempt I, Van Trappen S, Cleenwerck I, De Vos P, Camps K, Celens A, et al. Actinobaculum schaalii causing Fournier’s gangrene. J Clin Microbiol. 2011;49:2369–71.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Tande AJ, Patel R. Prosthetic joint infection. Clin Microbiol Rev. 2014;27:302–45.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Mougari F, Jacquier H, Berçot B, Hannouche D, Nizard R, Cambau E, et al. Prosthetic knee arthritis due to Granulicatella adiacens after dental treatment. J Med Microbiol. 2013;62:1624–7.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

Université Paris-Diderot, France supported this study. The authors are grateful to Aurélia Telotte and Fabienne Meunier for excellent technical assistance.

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Correspondence to H. Jacquier.

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The authors declare that they have no competing interest.

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This study has been performed in accordance with the 1964 Declaration of Helsinki and its later amendments.

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Jacquier, H., Benmansour, H., Zadegan, F. et al. Actinobaculum schaalii, a new cause of knee prosthetic joint infection in elderly. Infection 44, 547–549 (2016). https://doi.org/10.1007/s15010-015-0864-9

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  • DOI: https://doi.org/10.1007/s15010-015-0864-9

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