Infect Chemother. 2012 Dec;44(6):481-484. Korean.
Published online Dec 31, 2012.
Copyright © 2012 by The Korean Society of Infectious Diseases and Korean Society for Chemotherapy
Case Report

Two Cases of Invasive Infections Caused by Arcanobacterium haemolyticum in Immunocompetent Adult

Seong Yeon Park,1 Ki Hyoung Koo,2 Hee Jin Huh,3 and Seok Lae Chae3
    • 1Department of Internal Medicine, University of Dongguk College of Medicine, Gyeongju, Korea.
    • 2Department of Orthopedic Surgery, University of Dongguk College of Medicine, Gyeongju, Korea.
    • 3Department of Laboratory Medicine, University of Dongguk College of Medicine, Gyeongju, Korea.
Received April 20, 2012; Revised May 31, 2012; Accepted September 26, 2012.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Arcanobacterium haemolyticum is a gram-positive bacillus that is most commonly implicated in pharyngitis and infections of the skin and soft tissue. Systemic and deep-seated infections caused by this organism are rarely reported in the literature. Recently, we encountered two cases of invasive infections caused by A. haemolyticum. We describe two cases, one with vertebral osteomyelitis with an epidural abscess and the other with a buttock abscess with bacteremia.

Keywords
Invasive infection; Arcanobacterium haemolyticum

Figures

Figure 1
Sagittal MRI images of case-1. (A) T1 weighted image. (B) Gadolinium-Enhanced image. Intervertebral disc is severely destroyed. Epidural abscess is visible in the T1 and enhanced T1 image (arrow).

Figure 2
Axial MRI images of case-1. (A) T1 weighted image. (B) Gadolinium-Enhanced image. Epidural abscess that compressed the dural sac is visible in the T1 and enhanced T1 image (arrow). (C) Gadolinium-Enhanced image shows an abscess on the right iliopsoas muscle (arrow).

Figure 3
CT images of case-2. A CT scan shows fluid collection with air bubbles in the right buttock (arrow).

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