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actinobaculum schaalii - invasive pathogen or innocent bystander a retrospective observational studyactinobaculum schaaliiu2014u2014入侵病原体或无辜的旁观者回顾性观察研究
Tschudin-Sutter et al. BMC Infectious Diseases 2011, 11:289
/1471-2334/11/289
RESEARCH ARTICLE Open Access
Actinobaculum schaalii - invasive pathogen or
innocent bystander? A retrospective
observational study
1 2 1 2 1*
Sarah Tschudin-Sutter , Reno Frei , Maja Weisser , Daniel Goldenberger and Andreas F Widmer
Abstract
Background: Actinobaculum schaalii is a Gram-positive, facultative anaerobic coccoid rod, classified as a new genus
in 1997. It grows slowly and therefore is easily overgrown by other pathogens, which are often found
concomitantly. Since 1999, Actinobaculum schaalii is routinely investigated at our hospital, whenever its presence is
suspected due to the detection of minute grey colonies on blood agar plates and negative reactions for catalase.
The objective of this study was to determine the clinical significance of Actinobaculum schaalii, identified in our
microbiology laboratory over the last 11 years.
Methods: All consecutive isolates with Actinobaculum schaalii were obtained from the computerized database of
the clinical microbiology laboratory and patients whose cultures from any body site yielded this pathogen were
analyzed. Observation of tiny colonies of Gram-positive, catalase-negative coccoid rods triggered molecular
identification based on 16S rRNA gene sequencing.
Results: 40 isolates were obtained from 27 patients during the last 11 years. The patient’s median age was 81
(19-101) years, 25 (92.6%) had underlying diseases and 12 (44.4%) had a genitourinary tract pathology.
Actinobaculum schaalii was isolated in 12 urine cultures, 21 blood cultures, and 7 deep tissue biopsies. Twenty-five
(62.5%) specimens were monobacterial, the remaining 15 (37.5%) wer
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