Background: Necrotizing soft-tissue infections are a devastating infection that is rarely caused by Actinomyces spp. Case Report: A 45-year-old obese previously healthy male presented to the emergency department with diabetic ketoacidosis. The patient developed systemic signs of infections and right medial thigh pain subsequently diagnosed as a necrotizing soft-tissue infection. Successful treatment included prompt surgical intervention and initiation of broad-spectrum antimicrobial drugs. Conclusion: Actinomyces turicensis may be the pathogen causing certain necrotizing soft-tissue infections. Clinicians should consider the possibility that this organism represents a true pathogen and not colonization/contamination.
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Guys & St Thomas NHS Fdn Trust, Dept Crit Care, London, EnglandGuys & St Thomas NHS Fdn Trust, Dept Crit Care, London, England
Peetermans, M.
de Prost, N.
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Hop Univ Henri Mondor Albert Chenevier, AP HP, Serv Reanimat Med, Creteil, France
Univ Paris Est Creteil, IMRB, Grp Rech Clin CARMAS, Creteil, FranceGuys & St Thomas NHS Fdn Trust, Dept Crit Care, London, England
de Prost, N.
Eckmann, C.
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Hannover Med Sch, Dept Gen Visceral & Thorac Surg, Klinikum Peine, Acad Hosp, Hannover, GermanyGuys & St Thomas NHS Fdn Trust, Dept Crit Care, London, England
Eckmann, C.
Norrby-Teglund, A.
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Karolinska Univ Hosp, Ctr Infect Med, Karolinska Inst, Huddinge, SwedenGuys & St Thomas NHS Fdn Trust, Dept Crit Care, London, England
Norrby-Teglund, A.
Skrede, S.
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Haukeland Hosp, Dept Med, Bergen, Norway
Univ Bergen, Dept Clin Sci, Bergen, NorwayGuys & St Thomas NHS Fdn Trust, Dept Crit Care, London, England
Skrede, S.
De Waele, J. J.
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Ghent Univ Hosp, Dept Crit Care Med, C Heymanslaan 10, B-9000 Ghent, BelgiumGuys & St Thomas NHS Fdn Trust, Dept Crit Care, London, England