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An investigation into breast infections caused by Actinomyces species

Karla Berry¹, Aleksandra Marek¹, Mairi MacLeod¹

¹Department of Microbiology, Glasgow Royal Infirmary, 84 Castle Street, Glasgow, G4 0SF, United Kingdom.

|April 26, 2025

Abstract:

We investigated the management of Actinomyces breast infection. Eight different Actinomyces species were isolated from 26 patients during the study period (December 2018-November 2021). All tested isolates were susceptible (at standard or high dose) to penicillin and 75 % to clindamycin. Twenty-three patients had a history of smoking. Three had coexisting breast cancer. Prescribers need to be educated about the lack of activity of metronidazole on Actinomyces.

Keywords:

Actinomyces Breast abscess Metronidazole Smoking

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