Journal

The Journal of the Japanese Society for Clinical Microbiology

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[Vol.23 No.2 contents]
Japanese / English

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Article in Japanese

ArticleTitle A Case of Arcanobacterium haemolyticum Infection, Isolated from the Blood Culture
Language J
AuthorList Miwaka Tomo1), Kimiyo Fukuzaki1), Kiyoshi Negayama4), Masafumi Takahashi1), Naoko Yamamoto1), Yasunobu Funamoto1), Tomonari Kimura2), Masamichi Kuwajima3)
Affiliation 1) Department of Laboratory Medicine, Kaisei Hospital
2) Cardiovascular Center, Kaisei Hospital
3) Diabetes Center, Kaisei Hospital
4) Department of Laboratory Medicine, Kagawa University Hospital
Publication J.J.C.M.: 23 (2), 107-111, 2013
Received March 5, 2013
Accepted April 18, 2013
Abstract We report a case of Arcanobacterium haemolyticum (A. haemolyticum) infection, isolated by blood culture. A woman, 90 year-old, was admitted to our hospital for fever up and chest discomfort. Before the admission, the patient was confined to the bed in the institution for the aged and under the treatment of the decubitus ulcer. In our hospital, for the investigation of the fever up, the blood sampling was performed and A. haemolyticum was isolated by blood culture with two sets of test tubes. From this result, the administration of the cefotiam was started and, after that, the blood culture test showed negative for any bacterium. But the fever up and inflammatory symptom were persisted. Therefore, the symptoms were suspected due to decubitus ulcer itself or the omarthritis. The fever up and the inflammatory reaction were decreased by the treatment for the decubitus ulcer and the omarthritis, and the patient could be discharged after 42 days. A. haemolyticum is characterized with an attenuated virulence and a rare bacteria causing to bacteremia. In this case, A. haemolyticum could not be detected from the decubitus ulcer supposed to be the origin of the infection. It is important to consider the possibility that A. haemolyticum may spread to whole body via blood flow.
Keywords Arcanobacterium haemolyticum
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