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Infection Due to Actinobacillus actinomycetemcomitans: 15 Cases and Review

Kaplan, A. H., Weber, D. J., Oddone, E. Z., Perfect, J. R.·1989·Clinical Infectious Diseases

Abstract

Actinobacillus actinomycetemcomitans is a small fastidious gram-negative coccobacillus that fails to grow on MacConkey's agar. Slow growth in broth may lead to delays in diagnosis. First described in 1912, A. actinomycetemcomitans has been recognized since 1962 as capable of causing serious infections in humans. Such infections include periodontal infection, soft tissue abscess (often in association with Actinomyces species), and systemic infection, most commonly endocarditis. Fifteen cases and a review of the English-language literature are presented to define the epidemiology and clinical features of infection due to A. actinomycetemcomitans. Therapy for infection due to A. actinomycetemcomitans has most commonly involved ampicillin or penicillin, often in conjunction with an aminoglycoside. However, resistance to penicillin or ampicillin is common. Antimicrobial agents with a high degree of in vitro activity included cefazolin, cefotaxime, cetriaxone, aminoglycosides, and chloramphenicol. Therapy should be guided by clinical response and in vitro susceptibility testing.

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Metadata

Authors
Kaplan, A. H., Weber, D. J., Oddone, E. Z., & Perfect, J. R.
Venue
Clinical Infectious Diseases
Published
1989-01-01
Volume
11
Issue
1
Pages
46-63
ISSN
  • 1058-4838 (ISSN-L)
  • 1537-6591
OpenAlex
W1989579424
Cited by
197
References
0
FWCI
19.89
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Infection Due to Actinobacillus actinomycetemcomitans: 15 Cases and Review. https://app.cochat.ai/papers/10.1093/clinids/11.1.46
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Kaplan, A. H., Weber, D. J., Oddone, E. Z., & Perfect, J. R. (1989). Infection Due to Actinobacillus actinomycetemcomitans: 15 Cases and Review. Clinical Infectious Diseases. https://doi.org/10.1093/clinids/11.1.46

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