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Actinobacillus Infection
Actinobacillus Infect

Presentation

CLINICAL PRESENTATION: A 34-year-old man presented with a 3-month history of acute onset of left-sided retro-orbital pain that progressed to a complete left Cranial Nerve VI palsy and Cranial Nerve V1 and V2 hypesthesia. [ncbi.nlm.nih.gov]

Author Affiliations CHICAGO, ILLINOIS, AND ATLANTA, GEORGIA †Formerly, assistant professor of medicine, University of Chicago School of Medicine (present address, Mary Imogene Bassett Hospital. Cooperstown, New York). [nejm.org]

Evidence of the existence of antigenically different strains of A. seminis is presented. © Publisher Full text loading... Article metrics loading... [journals.co.za]

Entire Body System

  • Hunting

    Tolosa-Hunt syndrome was suspected, and the patient was treated with high-dose corticosteroids. An open biopsy was performed after failed prolonged corticosteroid therapy. [ncbi.nlm.nih.gov]

Eyes

  • Painful Ophthalmoplegia

    CONCLUSION: We present a rare bacterial abscess of the cavernous sinus causing painful ophthalmoplegia. [ncbi.nlm.nih.gov]

    Case Reports Rare Actinobacillus Infection of the Cavernous Sinus Causing Painful Ophthalmoplegia: Case Report Department of Neurosurgery, The Cleveland Clinic Foundation, Cleveland, Ohio Department of Neurosurgery, The Cleveland Clinic Foundation, Cleveland [journals.lww.com]

    Rare Actinobacillus infection of the cavernous sinus causing painful ophthalmoplegia: case report. Neurosurgery 2002;51:807-810. [PubMed] 6 5. Thjotta TL, Sydnes S. Actinobacillus actinomycetam comitans as the sole infecting agent in a human being. [antimicrobe.org]

Neurologic

  • Hypesthesia

    CLINICAL PRESENTATION: A 34-year-old man presented with a 3-month history of acute onset of left-sided retro-orbital pain that progressed to a complete left Cranial Nerve VI palsy and Cranial Nerve V1 and V2 hypesthesia. [ncbi.nlm.nih.gov]

  • Cranial Neuropathy

    The patient's pain improved immediately, and cranial neuropathy resolved during the next several weeks. After cultures demonstrated growth of A. actinomycetemcomitans, a regimen of orally administered amoxicillin and metronidazole was initiated. [ncbi.nlm.nih.gov]

Treatment

Relevant data regarding clinical presentation, antimicrobial treatment and outcome of these patients were analyzed. [ncbi.nlm.nih.gov]

The treatment with ciprofloxacin was stopped, and the patient has been free of lesion since, 18 months after the last treatment. [medicaljournals.se]

Treatment It is important to begin treatment early, as advanced cases may fail to respond. The most common treatments are iodine therapy or tetracyclines. [thecattlesite.com]

A wide variety of treatments have been used, generally successfully. [antimicrobe.org]

Source of suspected periodontal pathogens re-emerging after periodontal treatment. J Clin Periodontol 1996: 23: 601-607. [ Links ] [scielo.isciii.es]

Prognosis

In a series of 57 cases of A actinomycetemcomitans endocarditis, poor dentition (46%) and abnormal cardiac valves (60%) were found to be predisposing factors. [12] Prognosis The prognosis is quite variable, depending on many factors, such as delay in [emedicine.medscape.com]

Favorable prognosis of patients with prosthetic valve endocarditis caused by gram-negative bacilli of the HACEK group. Am J Med 1988;85:104-107. [PubMed] 3 8. Mitchell RG, Gillespie WA. Bacterial endocarditis due to an Actinobacillus. [antimicrobe.org]

Etiology

Zambon Biology, Medicine Journal of clinical periodontology 1985 A large body of evidence implicates A. actinomycetemcomitans as an important micro-organism in the etiology of localized juvenile periodontitis including an increased prevalence of the organism [semanticscholar.org]

Clinical features, epidemiology, etiology, and pathogenesis. Gen Dent. 1998 Sep-Oct. 46(5):491-7. [Medline]. Lampe AS, Schroijen MA, Smith SJ. [emedicine.medscape.com]

Microbial etiological agents of destructive periodontal diseases. Periodontol 2000. 1994;5:78-111. [3] Haraszthy, V. I., Lally E. T., Haraszthy, G. G. & Zambon, J. J (2002). [microbewiki.kenyon.edu]

Microbial etiological agents of destructive periodontal diseases. Periodontol 2000 1994:5: 78-111. [ Links ] 3. Slots J, Ting M. [scielo.isciii.es]

Epidemiology

Fifteen cases and a review of the English-language literature are presented to define the epidemiology and clinical features of infection due to A. actinomycetemcomitans. [pubmed.ncbi.nlm.nih.gov]

Clinical features, epidemiology, etiology, and pathogenesis. Gen Dent. 1998 Sep-Oct. 46(5):491-7. [Medline]. Lampe AS, Schroijen MA, Smith SJ. [emedicine.medscape.com]

Pathophysiology

Pathophysiology When introduced into healthy tissue, the HACEK group organisms have the potential for abscess formation and invasive disease. [emedicine.medscape.com]

Prevention

There is a vaccine to prevent Hib disease. All children younger than 5 years of age should be vaccinated with the Hib vaccine. Centers for Disease Control and Prevention Definition (MSH) Infections with bacteria of the genus HAEMOPHILUS. [fpnotebook.com]

None of the types of protection prevented from developing the disease and characteristic changes in the lungs. [agris.fao.org]

Prevention There are no vaccines available to treat this disease. Control is best achieved by early recognition and prompt treatment or cases, isolation or disposal of infected animals is recommended. [thecattlesite.com]

Good oral hygiene is required to prevent periodontitis. [microbewiki.kenyon.edu]

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