A Case Report of Presumed Septic Shock Caused by Actinotignum schaalii Bacteremia

We herein report a case of presumed septic shock due to Actinotignum schaalii bacteremia with urinary tract infection. A 65-year-old Japanese man suffering from a fever was diagnosed with septic shock due to urinary tract infection. A urine sample was additionally incubated under 5% CO2 and anaerobi...

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Bibliographic Details
Published in:Internal Medicine 2021, pp.4351-19
Main Authors: Hashimoto, Takehiro, Ando, Masaru, Komiya, Kosaku, Usagawa, Yuko, Yamasue, Mari, Umeki, Kenji, Nureki, Shin-ichi, Hiramatsu, Kazufumi, Kadota, Jun-ichi
Format: Article
Language:English
Subjects:
Actinotignum schaalii
bacteremia
septic shock
urinary tract infection
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Summary:We herein report a case of presumed septic shock due to Actinotignum schaalii bacteremia with urinary tract infection. A 65-year-old Japanese man suffering from a fever was diagnosed with septic shock due to urinary tract infection. A urine sample was additionally incubated under 5% CO2 and anaerobic conditions after A. schaalii was identified in a blood culture, but A. schaalii was not detected in the urine culture. If Gram-positive rods are observed on Gram staining of a urine sample in symptomatic patients with a predisposing urogenital condition, 5% CO2 and an anaerobic culture of a urine sample should be performed immediately.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.4351-19