Table 1.
Patient | Age, years |
Sex | Genotype | Age at diagnosis |
Site of actinomycosis | Therapya | Surgery | Outcome |
---|---|---|---|---|---|---|---|---|
1 | 23 | M | gp91phox | 7 years | Cervical/submandibular lymph nodes | Intravenous ceftriaxone-meropenem, penicillin V, BMT | Yes | Survived, no recurrence |
2 | 6 | M | gp91phox | 2 years | Cervical lymph node | Oral amoxicillin-azithromycin-clindamycin | Yes | Survived, no recurrence |
3 | 28 | F | p22phox | 6 months | Cervical lymph node, lung/liver abscess | Intravenous penicillin G, oral azithromycin | RFA | Survived, no recurrence |
4 | 19 | F | gp91phox | 12 years | Cervical lymph nodes | Intravenous vancomycin-imipenem-clindamycin, oral clindamy- cinintravenous penicillin G | Yes | Survived, no recurrence |
5 | 13 | M | gp91phox | 6 weeks | Cervical lymph node | Intravenous meropenem | Yes | Survived, no recurrence |
6 | 10 | M | gp91phox | 7 years | Liver | Granulocyte transfusions, oral amoxi-cillin-clarithromycin, corticosteroids, intravenous amoxicillin-clindamy-cin, azithromycin | Yes | Survived, recurrence |
7 | 16 | M | gp91phox | 1 year | Liver | Ultrasonography-guided drainage, in- terferon-g, intravenous penicillin G, penicillin V | Yes | Survived, no recurrence |
8 | 38 | M | gp91phox | 6 years | Liver | Oral amoxicillin, intravenous tri-methoprim-sulfamethoxazole, intravenous voriconazole | RFA | Survived, recurrence |
9 | 10 | M | p22phox | 1 year | Lung, cervical lymph node | BMT, granulocyte transfusions, 5-flucytosine, interferon gamma | No | Survived, no recurrence |
10 | 2 | M | gp91phox | 8 months | Lung, cervical lymph node | Intravenous clindamy cin-minocycline-ciprofloxacin, oral minocycline-cipro-floxacin, intravenous ceftriaxone-teicoplanin, oral penicillin-trovafloxacin | Yes | Recurrence, died |
NOTE. BMT, bone marrow transplantation; RFA, radiofrequency ablation.
Items in boldface type indicate that the antibiotic therapy was apparently effective against infection with Actinomyces species.