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Subcutaneous abscesses and pulmonary infiltrate due to actinomyces infection. Case report.

Although Actinomyces israelii is part of the normal flora of the mouth, local trauma or poor dental hygiene may precipitate invasive infection. Hematogenous dissemination is rare. A case of pulmonary and subcutaneous actinomycosis is presented. The characteristic appearance of actinomycotic abscesses, and the importance of correct handling of tissue specimens and adequate information to the microbiologist are emphasized.

Abscess↗

Infected total hip arthroplasty due to Actinomyces israelii after dental extraction. A case report.

Late infection of a total hip arthroplasty after dental extraction has been reported, but never with an organism that is found exclusively in mouth flora. Actinomyces israelii is an organism responsible for dental caries. A 61-year-old woman developed an infected total hip arthroplasty after dental work. She denies ever being instructed to take prophylactic antibiotics by her orthopedic surgeon, by her internist, or by her dentist. Considering the extensive morbidity and potential mortality of an infected hip prosthesis, it is essential that all physicians are aware of the indications for antibiotic prophylaxis following joint arthroplasty. Recommendations for antibiotic prophylaxis for dental manipulation are a loading dose of 2.0 g of penicillin V orally or 1.2 million U of aqueous procaine penicillin G with 1.0 gram of streptomycin given intramuscularly 30 minutes before dental work, followed by four doses of 0.5 g of penicillin V orally every six hours.

Actinomycosis↗

Association of actinomyces and intrauterine contraceptive devices.

We analyzed the clinicopathologic aspects of 19 cases of actinomycosis associated with intrauterine devices (IUDs) seen and treated at hospitals affiliated with the State University of New York at Buffalo between 1972 and 1982. Clinical manifestations included the following: (1) asymptomatic IUD-associated Actinomyces colonization, (2) endocervicitis, (3) endometritis, (4) endometritis with salpingitis and/or tuboovarian abscesses and (5) abdominopelvic abscesses. No consistent relationship was found between the total peripheral lymphocyte count and/or degree of histologic lymphocytic reaction and the clinical picture. Abnormal uterine bleeding and/or discharge, pain, fever and abdominopelvic masses were among the symptoms and signs encountered. Patients with endocervicitis and/or endometritis responded to removal of the IUD, dilatation and curettage and antibiotic therapy for two to four weeks. Those who developed abscesses were treated successfully with surgical drainage and added antibiotic treatment.

Abscess↗

[Morphofunctional study of the development of Actinomyces aureofaciens under conditions of regulated and unregulated fermentation].

Actinomyces aureofaciens producing tetracycline and its inactive proactinomyces-like variant were studied by electron microscopy during their growth under conditions of regulated and non-regulated fermentation. The ultrastructure of the active variant changed: the cell wall and ribosomes underwent modification, amorphous electron-transparent structures appeared, and tubular membrane structures were formed. No changes were found in the inactive variant. When Act. aureofaciens grows in conditions of non-regulated fermentation, it shows rapid disintegration and autolysis; then, wide fragmented hyphae are formed. The morphology of these hyphae is similar to that of spore forming hyphae of the aerial mycelium. Viable hyphae exist for a long time if the active culture grows in conditions of regulated fermentation with periodic addition of nutrient substances. Amorphous electron-transparent structures, apparently of the antibiotic nature, are formed in the hyphae and liberated into the medium.

Fermentation↗

[Lysis from without of a culture of Actinomyces griseus--producer of the antibiotic kormogrizein].

A polylysogenic culture of Actinomyces griseus 15 producing the antibiotic cormogrisin is sensitive to actinophages, denoted as types 15 I, 15 II and 15 III, which are the virulent mutants of its temperate phages. In certain cases, the variants of Act. griseus 15, obtained by selection and resistant to the phages types 15 I and 15 II, can undergo lysis-from-without by these phages. A study of the mechanisms involved in this phenomenon has shown that the lytic activity is entirely eliminated if the phages have been a titre of 10(9) and higher. The lytic activity is entirely eliminated if the phages have been treated with a specific serum or inactivated by UV. The variants resistant to phage 15 I can adsorb this phage and undergo lysis-from-without at a high multiplicity of infection if only the age of the variant does not exceed 13 hours. The variants resistant to phages 15 I and 15 II can undergo lysis-from-within under the action of phage 15 III. The variants resistant to this phage have acquired this resistance as a result of lysogenization. They have entirely retained the ability to adsorb phage 15 I, but their ability to absorb phage 15 III is much lower. Therefore, the rate of mycelium growth is only slightly inhibited, but the lysis of the culture is not observed, under the action of phage 15 III having titres of 10(9) and 10(10).

Bacteriophages↗

[Actinomyces rimosus resistance to oxytetracycline].

High frequency of spontaneous and UV-and acridine dye-induced variants susceptible to oxytetracycline (OTC) and deprived of the capacity for synthesizing this antibiotic was observed in strain LST-118 of Actinomyces rimosus. The cells of strain LST-118 of Act. rimosus contained extrachromosomal DNA not found in its OTC susceptible variant BS87, which provides evidence in favour of participation of the extrachromosomal genetic elements in control of OTC resistance of the cells of Act. rimosus, LST-118. The OTC resistance in strain LST-118 is of inducable character. The resistance level is increasing from the beginning of the antibiotic synthesis and initially the subinhibitory concentrations of OTC in the medium were the inductors triggering cellular mechanisms ensuring resistance of the cell to the increasing concentrations of OTC in the medium. The capacity for absorption of OTC in Act rimosus is 2--3 times lower than that in E. coli. The experiments with labeled tetracycline showed that the cells of the actinomycete absorbed OTC when it was present in the medium. The absorption of the main amount of the antibiotic was registered during the first 5 minutes. The difference in absorption of OTC by the cells of the antibiotic resistant and sensitive strains was insignificant.

Acridines↗

[New antibiotic no. 792 formed by Actinomyces bottropensis].

An actinomycetes strain 792 producing a new antibiotic was isolated under the programme of antitumor antibiotic screening. By its morphological and cultural properties strain 792 was classified as belonging to species Actinomyces bottropensis. Antibiotic 792 was recovered from the culture fluid of the strain by the extraction method in the form of a crystalline orange substances. lambda max 235, 305, 410 nm (E 1% 1cm 705, 105, 168), m. p. 232-255 degrees (dec), molecular weight 340, C 67 per cent, H 4.8 per cent, no nitrogen, sulphur or halogens. The antibiotic was inactivated in alkaline solutions forming a hardly soluble compound crystallizing in the form of red needles, lambda max 256, 485 nm (E 1% 1ct 800, 195), m. p. 202-204 degrees (dec), molecular weight 320, C 69.5 per cent, H 4.7 per cent. Antibiotic 792 had antitumor and antimicrobial activity.

Animals↗

[Effect of organic acids on the biosynthesis of macrotetralide antibiotics by an Actinomyces chrysomallus var. carotenoides strain].

The biosynthesis of macrotetrolides by Actinomyces chrysomalus var. carotenoides was stimulated by acetic, succinic, propionic, oxalic, malic, tartaric, citric, pyruvic, alpha-ketoglutaric and fumaric acids. Incorporation of 14C-acetate into the molecule of the antibiotic and the data on dependence of the stimulating effect upon the quantitative ratio and time of the organic acid addition were indicative of the role of acetic, succinic and propionic acids as precursors of macrotetrolides. The other organic acids increased the biosynthesis of macrotetolides when added to the culture within wide time ranges of the culture development and prolonged the period of the mycelium productive state.

Acids↗

[Influence of the composition of the medium and the duration of cultivation on the growth of Actinomyces spheroides and their biosynthesis of intracellular proteases and novobiocin].

The growth of Actinomyces spheroides 35 under different conditions and the biosynthesis of biomass, proteases and the antibiotic were studied with two types of growth medium: a control one and an optimized one. The rate of biomass accumulation was by 5--7 per cent higher on the latter medium than on the former one. The dynamics of accumulation was studied with novobiocin and proteases which hydrolyzed fibrin and casein. Fibrin hydrolyzing proteases were found to be synthesized under conditions that were unfavourable for the production of novobiocin. If the production of the antibiotic was supressed, the concentration of fibrinolytic proteases in the cultural broth increased almost proportionally. Such a relation has not been found for caseinolytic proteases.

Caseins↗

[Ion-exchange chromatography on cholesterol oxidase from Actinomyces lavendulae on a Biocarb-type carboxyl cationite].

Reversible sorption on the Biocarb-D carboxyl cationite of cholesterol oxidase extracted from the mycelium of Actinomyces lavendulae was examined. Sorption at pH 5.0 and desorption at pH 5.5 maintained 80% of the enzyme activity and increased seven-fold the specific activity as calculated per protein. By gel chromatography on Sephadex G-150 it was shown that the process was accompanied by a significant decrease in the number of inactive proteins.

3-Hydroxysteroid Dehydrogenases↗

[Purification of the extracellular trypsin inhibitor from Actinomyces janthinus 118].

From the culture liquid filtrate of Actinomyces janthinus 118 a trypsin inhibitor (TI-AjI) was isolated by sulphate ammonium precipitation, DEAE-cellulose chromatography, QAE-Sephadex chromatography and two-fold crystallization. The resultant preparation was homogeneous during polyacrylamide gel electrophoresis and ultracentrifugation. As measured by gel filtration, the TI-AjI molecular weight was estimated to be 13,000+/-1,000. The culture liquid of Act. janthinus 118 was found to contain another substance with anti-trypsin activity that differed from TI-AjI in its molecular weight.

Crystallization↗

[Interrelation between the activity of the lytic enzyme producer Actinomyces recifensis var. lyticus 2435 and its population variability].

Spontaneous variability of Actinomyces recifensis var. lyticus 2435 producing a complex of lytic enzymes was studied. A correlation between the strain activity and the content of the variants of the main morphological type in the population was shown. The carbon sources influenced the proportion of different type variants in the population. Strain 2435 was rather stable with respect to the level of the synthesis of yeast-like enzymes and showed a significant variation with respect to the level of the biosynthesis of the bacteriolytic complex. The population variation of strain 2435 with respect to the staphylolytic (synthesis of specific endopeptidases) and muramidase activity was most pronounced. The high activity levels of strain 2435 and wide lytic spectrum were provided by selection of the variants of the first morphological type with respect to the property of high staphylolytic activity.

Bacteriolysis↗

[Composition of Actinomyces hygroscopicus membranes].

The composition of membranes was studied in four strains of Actinomyces hygroscopicus differing in their morphologo-cultural characteristics and synthesis of antibiotic hygromycin and enzyme hygrolytin. The composition of the membranes was not the same and varied in the course of growth and development. The content of proteins and carbohydrates increased in the membranes, particularly in the strains producing enzymes. In the process of growth, the content of phospholipids increased in the lipid component of the membranes, and the ratio between the main phospholipids, i. e. phosphatidyl ethanolamine and cardiolipine, changed. The spectrum of fatty acids of phospholipids did not change in the course of growth.

Bacterial Proteins↗

[Thoracic actinobacteriosis due to Actinomyces naeslundii].

The authors report the first case of thoracic actinomycosis due to Actinomyces Naeslundii. A precostal abscess with a large mediastinal and thoracic collection on CT scan was the presenting symptom. Evolution was favorable without sequelae after 6 weeks of Penicillin therapy (10.000.000 U/day).

Abscess↗

[Effect of organic acids on the biosynthesis of carotenes by an Actinomyces chrysomallus strain].

Synthesis of carotenes by Actinomyces chrysomallus var. carotenoides was stimulated by citric, acetic, oxalacetic, fumaric, succinic, malic, alpha-ketoglutaric, tartaric, pyruvic, and propionic acids. Acetic acid acts as a precursor of carotene synthesis and also has another stimulating mechanism of action on carotenogenesis of the actinomycete. Acetic, furmaric, malic, succinic, and alpha-ketoglutaric acids stimulate cyclization of lycopene yielding beta-carotene.

Acids↗

[Actinomyces thermovulgaris endospores].

It has been established for the first time that autolysis observed when Actinomyces thermovulgaris T-54 is cultivated on liquid media of various composition is caused by the formation of submerged spores. These, in contrast to exospores of the majority of the actinomycetes, are endospores according to their structure and the following criteria: thermostability, the presence of dipicolinic acid, the structure of ultrathin cross-sections studied by electron microscopy, the resistance to novobiocin.

Spores, Bacterial↗