Microbiology
Small, gram-positive, facultatively anaerobic, CO2-requiring coccoid rods, includes Actinotignum schaalii, A. urinale.
Hard to grow, suspect with a UTI that grows nothing but does not get better on treatment. (PubMed).
Epidemiologic Risks
? normal human flora
Syndromes
UTI in the elderly and the occasional sepsis and abscess (PubMed).
Sterile pyuria (PubMed).
Treatment
Resistant to ciprofloxacin or trimethoprim, treat with ? beta-lactams, such as ampicillin or cephalosporins.
Notes
Last update: 05/05/18