Ljm. Sabbe et al., Clinical spectrum of infections due to the newly described Actinomyces species A-turicensis, A-radingae, and A-europaeus, J CLIN MICR, 37(1), 1999, pp. 8-13
Over a 7-year period, we isolated 294 Actinomyces-like organisms (ALOs) whi
ch were not clearly identifiable. Using well-defined probes coding for sequ
ences specific for recently described Actinomyces species (A. turicensis, A
. radingae, and A. europaeus), we were able to identify 128 strains. The ma
jority belonged to the A. turicensis species. A. radingae was found only in
patients with skin-related pathologies, A. europaeus was also detected in
patients with urinary tract infections. The main sources of A. turicensis w
ere genital infections, followed by skin-related and urinary tract infectio
ns. Additional clinical pictures were appendicitis, cholecystitis, ear, nos
e, and throat infections, and bacteremia, In a small number of patients the
se ALOs were found as the only pathogen, Strains of the three species were
tested by two widely used biochemical identification methods. A. turicensis
was easily identifiable by both these methods. We conclude that these ALOs
are not infrequent pathogens and are found in a wide range of human infect
ions. At least A. turicensis is easily identifiable by clinical diagnostic
laboratories.