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Kutane Infektion mit Aggregatibacter actinomycetemcomitans

Cutaneous infection with Aggregatibacter actinomycetemcomitans

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Zusammenfassung

Hintergrund

Bei Aggregatibacter actinomycetemcomitans handelt es sich um ein Gram-negatives, unbewegliches, kokkoides Stäbchen. Aggregatibacter actinomycetemcomitans ist bekannt als Auslöser einer aggressiven Parodontitis und Begleitkeim der Aktinomykose.

Fallbericht

Wir berichten über eine Patientin, bei der unter oraler Antibiose mit Cefpodoxim und chirurgischem Débridement eine seit einem Bagatelltrauma bestehende, chronische Wunde über der rechten Ferse abheilte. Bakteriologisch konnte reichlich Wachstum von Aggregatibacter actinomycetemcomitans nachgewiesen werden, jedoch keine Aktinomyzeten.

Zielsetzung

Die mögliche Bedeutung von Aggregatibacter actinomycetemcomitans als Verursacher chronischer Wunden soll verdeutlicht werden.

Abstract

Background

Aggregatibacter actinomycetemcomitans is a small, gram-negative, non-motile, coccobacillus. Aggregatibacter actinomycetemcomitans is known to cause periodontal disease and to be associated with actinomycosis.

Case report

We report a patient developed a chronic wound following trauma about the right heel. The lesion resolved after oral antibiotic therapy with cefpodoxime und surgical debridement. Bacterial cultures grew abundant Aggregatibacter actinomycetemcomitans, but no actinomyces species.

Objective

The importance of Aggregatibacter actinomycetemcomitans in chronic wounds needs to be explored.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. J. Böhme, T.E. Glaenz, A. Kaiser und C. Allmacher geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Noris Dermatologie, Dr. med. O. Weber und Kollegen, Sulzbacher Str. 61, 90489, Nürnberg, Deutschland

    J. Böhme

  2. Fachklinik für Dermatologie, Allergologie und Dermatochirurgie, PsoriSol Hautklinik GmbH, Hersbruck, Deutschland

    T.E. Glaenz & C. Allmacher

  3. Institut für Pathologie, Klinikum Nürnberg, Nürnberg, Deutschland

    A. Kaiser

Authors
  1. J. Böhme
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  2. T.E. Glaenz
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  3. A. Kaiser
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  4. C. Allmacher
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Corresponding author

Correspondence to J. Böhme.

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Böhme, J., Glaenz, T., Kaiser, A. et al. Kutane Infektion mit Aggregatibacter actinomycetemcomitans . Hautarzt 65, 810–813 (2014). https://doi.org/10.1007/s00105-013-2678-y

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  • DOI: https://doi.org/10.1007/s00105-013-2678-y

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