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Actinomyces odontolyticus infection 3 months post-robotic-assisted laparoscopic prostatectomy
  1. Melissa Clyde1,
  2. Jamie McAllister2,
  3. Alison Obeidallah3 and
  4. Imran Ahmad3
  1. 1 The School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK
  2. 2 Infectious Diseases, NHS Greater Glasgow and Clyde, Airdrie, UK
  3. 3 Urology, NHS Greater Glasgow and Clyde, Glasgow, UK
  1. Correspondence to Melissa Clyde, m.clyde{at}


Actinomyces odontolyticus infection is a rare bacterial infection with only 46 cases reported from its discovery in 1958. This case highlights an immunocompetent patient who presented with an infected lymphocele and bacteraemia following a robotic-assisted laparoscopic prostatectomy and extended pelvic lymph node dissection 3 months previously. He was treated for a fever of unclear origin initially using amoxicillin, gentamicin and metronidazole. Subsequently, he was found to have an infected lymphocele, which required surgical drainage. He was discharged 19 days after admission with three times daily oral amoxicillin which is to be continued for 6–12 months. This case highlights the need for effective communication between the laboratory and medical teams, and the importance of prompt source control.

  • prostate
  • infectious diseases
  • drugs: infectious diseases
  • infections

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  • Contributors MC: main writer and editing. AO: information gathering, editing and obtaining patient consent. JMA: editing, cowriter and infectious diseases input. IA: editor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.