• Internal medicine · Jun 2021

    Case Reports

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

    • Takehiro Hashimoto, Masaru Ando, Kosaku Komiya, Yuko Usagawa, Mari Yamasue, Kenji Umeki, Shin-Ichi Nureki, Kazufumi Hiramatsu, and Jun-Ichi Kadota.
    • Department of Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, Japan.
    • Intern. Med. 2021 Jun 15; 60 (12): 1915-1919.

    AbstractWe 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.

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