{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:59:34Z","timestamp":1785394774911,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Actinomyces europaeus<\/jats:italic>\n                    is an emerging Gram-positive bacterium associated with skin and soft tissue infections. It exhibits intrinsic resistance to multiple antibiotics, and its fastidious growth and the polymicrobial nature of infections often delay diagnosis and treatment. This report highlights a rare case of\n                    <jats:italic toggle=\"yes\">A. europaeus<\/jats:italic>\n                    infection following elective surgery. A 78-year-old woman presented with asthenia and purulent umbilical discharge two months after abdominoplasty. A CT scan revealed a large supra-fascial fluid collection. She underwent surgical debridement and lavage. Cultures identified\n                    <jats:italic toggle=\"yes\">Actinomyces europaeus<\/jats:italic>\n                    , alongside\n                    <jats:italic toggle=\"yes\">Staphylococcus hominis<\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">Staphylococcus haemolyticus<\/jats:italic>\n                    . Susceptibility testing for\n                    <jats:italic toggle=\"yes\">A. europaeus<\/jats:italic>\n                    was not performed. Following infectious disease consultation, therapy was switched from piperacillin\/tazobactam to intravenous penicillin G, transitioning to oral amoxicillin\/clavulanic acid for 12 weeks. The patient recovered fully with no recurrence. A review of the literature, highlights that\n                    <jats:italic toggle=\"yes\">A. europaeus<\/jats:italic>\n                    infections are often polymicrobial, require advanced diagnostics such as MALDI-TOF (matrix-assisted laser desorption\/ionization time of flight), and respond favourably to penicillin-based therapy when combined with complete surgical debridement. This case and literature review underscore challenges in managing\n                    <jats:italic toggle=\"yes\">A. europaeus<\/jats:italic>\n                    and emphasize the need for increased awareness and standardized therapeutic guidelines.\n                  <\/jats:p>","DOI":"10.1177\/23247096261473738","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T23:50:35Z","timestamp":1785196235000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Actinomyces Europaeus<\/i>\n                    : A Case Report of a Rare Subcutaneous Infection Following Abdominoplasty and a Review of the Literature"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9270-1709","authenticated-orcid":false,"given":"Simone","family":"Gianazza","sequence":"first","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8983-5615","authenticated-orcid":false,"given":"Luca","family":"Broggi","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5871-5466","authenticated-orcid":false,"given":"Arline","family":"Vechiu","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"},{"name":"University of Insubria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariacarla","family":"Besozzi","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4643-8433","authenticated-orcid":false,"given":"Marco","family":"Corbella","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9275-4890","authenticated-orcid":false,"given":"David","family":"Meierruth","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekaterina","family":"Kurbanova","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"},{"name":"University of Insubria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0528-0697","authenticated-orcid":false,"given":"Rosangela","family":"Rapetti","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3470-2293","authenticated-orcid":false,"given":"Simona","family":"Del Ferraro","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8727-2524","authenticated-orcid":false,"given":"Francesco","family":"Lazzarin","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2017-1777","authenticated-orcid":false,"given":"Andrea","family":"Rizzi","sequence":"additional","affiliation":[{"name":"Ospedale L Galmarini - ASST Settelaghi"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjab533"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.42868"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fgene.2022.894900"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.77128"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.70973"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajhp\/zxaf190"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s15010-011-0119-3"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1099\/00207713-47-3-687"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjz286"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40121-023-00781-6"},{"issue":"5","key":"e_1_3_6_12_2","first-page":"E318","article-title":"Osteochemonecrosis of the jaws due to bisphosphonate treatments. 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