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Journal of Clinical Microbiology, June 2008, p. 2009-2014, Vol. 46, No. 6
0095-1137/08/$08.00+0     doi:10.1128/JCM.01706-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.

Thoracic Vertebral Actinomycosis: Actinomyces israelii and Fusobacterium nucleatum{triangledown}

Hitoshi Honda,1 Matthew J. Bankowski,2* Eric H. N. Kajioka,3 Nalurporn Chokrungvaranon,4 Wesley Kim,2 and Scott T. Gallacher4

Division of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri,1 Diagnostic Laboratory Services, Inc., and John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii,2 Division of Infectious Diseases, University of Colorado, Denver, Colorado,3 Department of Internal Medicine, University of Hawaii Internal Medicine Residency Program, Honolulu, Hawaii4

Received 27 August 2007/ Returned for modification 26 September 2007/ Accepted 28 February 2008

Actinomyces spp. are considered rare pathogens in today's medicine, especially with thoracic vertebral involvement. Classic actinomycosis (50%) presents as an oral-cervicofacial ("lumpy jaw") infection. This report describes a case of spinal cord compression caused by Actinomyces israelii with the coisolation of Fusobacterium nucleatum. There are limited numbers of similar cases.

* Corresponding author. Mailing address: Department of Clinical Microbiology, Diagnostic Laboratory Services, Inc., 650 Iwilei Road, Suite 300, Honolulu, HI 96817. Phone: (808) 589-5242. Fax: (808) 589-5215. E-mail: mbankowski{at}dlslab.com

{triangledown} Published ahead of print on 12 March 2008.

Journal of Clinical Microbiology, June 2008, p. 2009-2014, Vol. 46, No. 6
0095-1137/08/$08.00+0     doi:10.1128/JCM.01706-07
Copyright © 2008, American Society for Microbiology. All Rights Reserved.





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