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已发表论文
一例罕见的由瑞士放线菌和沙氏放线菌混合感染所致的骶尾部藏毛窦脓肿病例报告
Authors Ye J , Zhao S, Xie Y, Mao Q, Chen L, Shen B, Xu Y
Received 27 June 2025
Accepted for publication 29 September 2025
Published 4 October 2025 Volume 2025:18 Pages 5249—5256
DOI https://doi.org/10.2147/IDR.S550162
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Oliver Planz
Jiayuan Ye,1,2,* Shanshan Zhao,3,* Yilian Xie,4 Qiuqin Mao,5 Lijun Chen,6 Bing Shen,6 Yuxiang Xu7
1Department of Infectious Diseases, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China; 2Health Science Center, Ningbo University, Ningbo, Zhejiang, People’s Republic of China; 3Department of Clinical Laboratory, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China; 4Department of Infectious Diseases, the First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, People’s Republic of China; 5Department of Nursing, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China; 6Department of General Medicine, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China; 7Medical department, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yuxiang Xu, Medical department, the Shangyu People’s Hospital of Shaoxing University, No. 517, Minsheng Avenue, Baiguan Street, Shangyu District, Shaoxing City Shangyu District Baiguan Street City Avenue 517, Shaoxing, Zhejiang Province, People’s Republic of China, Tel +86057582185313, Email 429381659@qq.com
Abstract: Sacrococcygeal pilonidal abscesses are typically caused by anaerobic and Gram-negative bacteria due to their anatomical proximity to the anus; however, mixed infections involving Actinomyces and Actinotignum species are exceptionally rare, and to our knowledge, this is the first reported case of a sacrococcygeal pilonidal abscesses caused by Actinomyces turicensis and Actinotignum schaalii. The patient, an 18-year-old female, presented with one week of localized pain, redness, and swelling, which failed to respond to conventional antibiotics. Pelvic CT revealed an abscess, prompting surgical debridement and subsequent recovery. Rapid pathogen identification was achieved using Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry (MALDI-TOF MS) from a single colony culture. This case underscores the importance of microbiological identification using tools like MALDI-TOF MS to recognize uncommon pathogens, which is critical for avoiding ineffective empiric antibiotics and guiding appropriate therapy. Further research is needed to optimize management strategies for such rare infections.
Keywords: pilonidal abscess, actinomyces turicensis, actinotignum schaalii, case report, coinfection
1Department of Infectious Diseases, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China; 2Health Science Center, Ningbo University, Ningbo, Zhejiang, People’s Republic of China; 3Department of Clinical Laboratory, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China; 4Department of Infectious Diseases, the First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, People’s Republic of China; 5Department of Nursing, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China; 6Department of General Medicine, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China; 7Medical department, the Shangyu People’s Hospital of Shaoxing University, Shaoxing, Zhejiang Province, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Yuxiang Xu, Medical department, the Shangyu People’s Hospital of Shaoxing University, No. 517, Minsheng Avenue, Baiguan Street, Shangyu District, Shaoxing City Shangyu District Baiguan Street City Avenue 517, Shaoxing, Zhejiang Province, People’s Republic of China, Tel +86057582185313, Email 429381659@qq.com
Abstract: Sacrococcygeal pilonidal abscesses are typically caused by anaerobic and Gram-negative bacteria due to their anatomical proximity to the anus; however, mixed infections involving Actinomyces and Actinotignum species are exceptionally rare, and to our knowledge, this is the first reported case of a sacrococcygeal pilonidal abscesses caused by Actinomyces turicensis and Actinotignum schaalii. The patient, an 18-year-old female, presented with one week of localized pain, redness, and swelling, which failed to respond to conventional antibiotics. Pelvic CT revealed an abscess, prompting surgical debridement and subsequent recovery. Rapid pathogen identification was achieved using Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry (MALDI-TOF MS) from a single colony culture. This case underscores the importance of microbiological identification using tools like MALDI-TOF MS to recognize uncommon pathogens, which is critical for avoiding ineffective empiric antibiotics and guiding appropriate therapy. Further research is needed to optimize management strategies for such rare infections.
Keywords: pilonidal abscess, actinomyces turicensis, actinotignum schaalii, case report, coinfection