Bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum: a case report and literature review

This CARE-guided report details a rare case of bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum in a 69-year-old male with diabetic foot. Actinomyces turicensis and Gemella morbillorum are an opportunistic pathogen that rarely causes human infection, whil...

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Main Authors: Ying Li, Ling Zhu, Wei Yang, Chengdong You
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1626567/full
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author Ying Li
Ling Zhu
Wei Yang
Chengdong You
author_facet Ying Li
Ling Zhu
Wei Yang
Chengdong You
author_sort Ying Li
collection DOAJ
description This CARE-guided report details a rare case of bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum in a 69-year-old male with diabetic foot. Actinomyces turicensis and Gemella morbillorum are an opportunistic pathogen that rarely causes human infection, while bloodstream infection is more rarely. They are tend to occur in immunocompromised individuals and are highly susceptible to mixed infections with other opportunistic pathogens. Actinomyces turicensis and Gemella morbillorum can cause invasive infections, including bloodstream infection, abscess, endocarditis and other infectious diseases. We reported a 69-year-old male with type 2 diabetes mellitus complicated by a chronic, neuropathic, right-first-toe ulcer (Wagner grade 4 with underlying osteomyelitis), presented with chills, fever, and foot pain. Cultures of blood and purulent secretions from the foot revealed a mixed infection that was predominantly caused by Actinomyces turicensis and Gemella morbillorum. After 9 days of treatment with antibiotics, the patient exhibited a satisfactory recovery and he was discharged from the hospital. Clinicians should pay attention to disseminated infections caused by Actinomyces turicensis and Gemella morbillorum. Timely microbiological examinations and accurate identification methods are conducive to early diagnosis. The prognosis is relatively favorable with appropriate antibiotics, lesion removal, and other therapeutic measures.
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spelling doaj-art-c0a94e717ebe4b6aab0379281abb5d032025-08-20T03:59:32ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.16265671626567Bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum: a case report and literature reviewYing LiLing ZhuWei YangChengdong YouThis CARE-guided report details a rare case of bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum in a 69-year-old male with diabetic foot. Actinomyces turicensis and Gemella morbillorum are an opportunistic pathogen that rarely causes human infection, while bloodstream infection is more rarely. They are tend to occur in immunocompromised individuals and are highly susceptible to mixed infections with other opportunistic pathogens. Actinomyces turicensis and Gemella morbillorum can cause invasive infections, including bloodstream infection, abscess, endocarditis and other infectious diseases. We reported a 69-year-old male with type 2 diabetes mellitus complicated by a chronic, neuropathic, right-first-toe ulcer (Wagner grade 4 with underlying osteomyelitis), presented with chills, fever, and foot pain. Cultures of blood and purulent secretions from the foot revealed a mixed infection that was predominantly caused by Actinomyces turicensis and Gemella morbillorum. After 9 days of treatment with antibiotics, the patient exhibited a satisfactory recovery and he was discharged from the hospital. Clinicians should pay attention to disseminated infections caused by Actinomyces turicensis and Gemella morbillorum. Timely microbiological examinations and accurate identification methods are conducive to early diagnosis. The prognosis is relatively favorable with appropriate antibiotics, lesion removal, and other therapeutic measures.https://www.frontiersin.org/articles/10.3389/fmed.2025.1626567/fullActinomyces turicensisGemella morbillorumbloodstream infectiondiabetic footcoinfectioncase report
spellingShingle Ying Li
Ling Zhu
Wei Yang
Chengdong You
Bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum: a case report and literature review
Frontiers in Medicine
Actinomyces turicensis
Gemella morbillorum
bloodstream infection
diabetic foot
coinfection
case report
title Bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum: a case report and literature review
title_full Bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum: a case report and literature review
title_fullStr Bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum: a case report and literature review
title_full_unstemmed Bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum: a case report and literature review
title_short Bloodstream infection caused by coinfection of Actinomyces turicensis and Gemella morbillorum: a case report and literature review
title_sort bloodstream infection caused by coinfection of actinomyces turicensis and gemella morbillorum a case report and literature review
topic Actinomyces turicensis
Gemella morbillorum
bloodstream infection
diabetic foot
coinfection
case report
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1626567/full
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AT lingzhu bloodstreaminfectioncausedbycoinfectionofactinomycesturicensisandgemellamorbillorumacasereportandliteraturereview
AT weiyang bloodstreaminfectioncausedbycoinfectionofactinomycesturicensisandgemellamorbillorumacasereportandliteraturereview
AT chengdongyou bloodstreaminfectioncausedbycoinfectionofactinomycesturicensisandgemellamorbillorumacasereportandliteraturereview