Infectious Disease Compendium

Actinotignum

Microbiology

Small, gram-positive, facultatively anaerobic, CO2-requiring coccoid rods, includes A. schaalii (most common human pathogen), A. massiliense, and A. urinale. Hard to grow, suspect with a UTI that grows nothing but does not get better on treatment (PubMed).

Was Actinobaculum.

Epidemiologic Risks

Normal human GU flora

Syndromes

UTI in the elderly (PubMed) and the occasional sepsis (PubMed) and abscess (PubMed).

Treatment

Resistant to ciprofloxacin, clindamycin, and trimethoprim, treat with ? beta-lactams, such as ampicillin or cephalosporins.

Notes

Last update: 12/09/19