Septic shock due to NSTI caused by Actinomyces Turicensis: the role of clinical pharmacology. Case report and review of the literature

J Chemother. 2017 Dec;29(6):372-375. doi: 10.1080/1120009X.2017.1306154. Epub 2017 Apr 11.

Abstract

Critical septic patients affected by necrotizing soft tissue infections (NSTI) require an early, aggressive and multidisciplinary treatment. Pharmacokinetic alterations in antibiotic therapy are peculiar in these infections. Clinical pharmacology represents a first step in this setting. We report a case of septic shock due to NSTI in which clinical pharmacology is taken into account.

Keywords: Actinomyces turicensis; Clinical pharmacology; Necrotizing soft tissue infections; Therapeutic drug monitoring.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Actinomyces
  • Actinomycosis / complications*
  • Actinomycosis / therapy
  • Ampicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Debridement
  • Female
  • Humans
  • Middle Aged
  • Pharmacology, Clinical
  • Shock, Septic / microbiology*
  • Shock, Septic / therapy
  • Soft Tissue Infections / microbiology*
  • Soft Tissue Infections / therapy

Substances

  • Anti-Bacterial Agents
  • Ampicillin