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"apellidos" => "Rodríguez Díaz" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0213005X18300806" "doi" => "10.1016/j.eimc.2018.03.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0213005X18300806?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X19300553?idApp=UINPBA00004N" "url" => "/2529993X/0000003700000005/v1_201904260616/S2529993X19300553/v1_201904260616/en/main.assets" ] "en" => array:16 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Diagnosis at first sight</span>" "titulo" => "Infected hydrocele" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "341" "paginaFinal" => "343" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mónica Parra-Grande, Manuel Angel Ortiz-Gorraiz, Melanie Abreu-di Berardino, Alba de la Rica-Martínez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Mónica" "apellidos" => "Parra-Grande" "email" => array:1 [ 0 => "monicaparra88@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Manuel Angel" "apellidos" => "Ortiz-Gorraiz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Melanie" "apellidos" => "Abreu-di Berardino" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Alba" "apellidos" => "de la Rica-Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Microbiología, Hospital General Universitario de Elche, Elche, Alicante, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urología, Hospital General Universitario de Elche, Elche, Alicante, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hidrocele infectado" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2372 "Ancho" => 2167 "Tamanyo" => 558078 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Culture in Wilkins–Chalgren agar. (B) Gram stain.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case report</span><p id="par0005" class="elsevierStylePara elsevierViewall">We present the case of a 64-year-old man with a history of stress incontinence, long-term hypercholesterolaemia and controlled non-insulin-dependent diabetes mellitus. He underwent a radical retropubic prostatectomy in 2013 due to a stage 1 prostate carcinoma and received post-surgical treatment with surgical bed radiotherapy in 2014 due to recurrence of the prostate cancer. He was admitted for a stress incontinence test with increased left hemi-scrotum volume. This was diagnosed as a 230<span class="elsevierStyleHsp" style=""></span>ml left-sided hydrocele by means of ultrasonography.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient underwent surgery and a hydrocelectomy was performed with an incision in the left hemi-scrotum and dissection of the layers of the scrotum up to the tunica vaginalis. A thick, purulent and non-foul smelling substance was obtained at the opening of the tunica vaginalis. It was squeezed out and a sample was taken for Microbiology. The walls of the cyst were dried out and a drain left in place. Empirical treatment with amoxicillin/clavulanic acid (500/125<span class="elsevierStyleHsp" style=""></span>mg/8<span class="elsevierStyleHsp" style=""></span>h) was started for 10 days, with favourable progress.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Microbiological diagnosis</span><p id="par0015" class="elsevierStylePara elsevierViewall">A surgical sample of the hydrocele contents was aspirated using a syringe. It was seeded in blood agar, chocolate agar and thioglycollate broth, with these media incubated in aerobic conditions (37<span class="elsevierStyleHsp" style=""></span>°<span class="elsevierStyleSmallCaps">C</span>), and in Wilkins–Chalgren agar supplemented with 5% sheep blood agar in anaerobic conditions (37<span class="elsevierStyleHsp" style=""></span>°C). After 48<span class="elsevierStyleHsp" style=""></span>h of incubation in anaerobic conditions, faint growth of minute colonies was observed. After 72<span class="elsevierStyleHsp" style=""></span>h, the growth was visible with discreetly beta-haemolytic colonies of a macroscopic morphology similar to that of <span class="elsevierStyleItalic">Streptococcus</span> (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). In the Gram stain, gram-positive bacilli with a dimorphic and slightly curved morphology were observed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). These colonies were identified by means of mass spectrometry (MALDI-TOF<span class="elsevierStyleSup">®</span>, Bruker-Daltonics) as <span class="elsevierStyleItalic">Actinotignum urinale.</span> On the plates incubated in aerobic conditions, faint growth was obtained after the third day of incubation. Antibiotic susceptibility testing was performed using concentration gradient diffusion strips (ETEST<span class="elsevierStyleSup">®</span>, bioMérieux) in anaerobic conditions, with the following minimum inhibitory concentrations (mg/l): penicillin<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.016, amoxicillin/clavulanic acid 0.016, piperacillin/tazobactam<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.016, imipenem<span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.002, clindamycin 0.016, interpreted as susceptible, and metronidazole<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>256 as resistant. This was in accordance with the 2017 EUCAST criteria, version 7.0, for anaerobic gram-positive bacilli, since there are no established criteria for these microorganisms. No other patient samples were examined for the microbiological study.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">The strain was sent to the Taxonomy Laboratory of the Spanish National Microbiology Centre, which forms part of the <span class="elsevierStyleItalic">Instituto de Salud Carlos III</span>, to check the identification by means of 16S rRNA gene sequencing, where the genus and species were confirmed.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Final comments</span><p id="par0025" class="elsevierStylePara elsevierViewall">Treatment of a non-infected hydrocele is always surgical. Infected hydroceles, however, are usually a surgical finding and their infectious aetiology may be reactive to a contagious genitourinary and anorectal infection. The microorganisms involved may be responsible for sexually transmitted diseases, gram-positive cocci, Enterobacteriaceae and anaerobes in cases of gangrene. Viruses (varicella-zoster), <span class="elsevierStyleItalic">Brucella</span>, filariasis and bacillus Calmette-Guérin are less common in case of bladder cancer treatment. Finally, emerging pathogens such as <span class="elsevierStyleItalic">A. urinale</span>.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The genus <span class="elsevierStyleItalic">Actinobaculum</span> was first described by Lawson et al.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> in 1997, who differentiated it from <span class="elsevierStyleItalic">Actinomyces.</span> It includes the species <span class="elsevierStyleItalic">Actinobaculum suis</span> (swine pathogen), <span class="elsevierStyleItalic">Actinobaculum schaalii</span>, <span class="elsevierStyleItalic">A. urinale</span> and <span class="elsevierStyleItalic">Actinobaculum massiliae</span>, which have been linked to urinary tract infections. Cases of bacteraemia, osteomyelitis, endocarditis, arteritis, skin and soft-tissue infections and sepsis of urinary origin have been reported.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">2–6</span></a> In 2015, Yassin et al.<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> reclassified the genus as <span class="elsevierStyleItalic">Actinotignum</span>, including the species <span class="elsevierStyleItalic">A. schaalii</span>, <span class="elsevierStyleItalic">A. urinale</span> and <span class="elsevierStyleItalic">Actinotignum sanguinis</span>. <span class="elsevierStyleItalic">Actinotignum</span> probably forms part of the urogenital microbiota. They are small gram-positive, catalase-negative, slightly curved, non-spore-forming and immobile coccobacilli. They are obligate or facultative anaerobes. Given their similar macroscopic appearance to microorganisms of the genus <span class="elsevierStyleItalic">Streptococcus</span> and the microscopic features of the genus <span class="elsevierStyleItalic">Corynebacterium</span> and <span class="elsevierStyleItalic">Propionibacterium</span>, they may be confused with microorganisms of the mucocutaneous saprophytic microbiota. The conditions in which urogenital samples are usually incubated may mean that genitourinary infections caused by these microorganisms are underdiagnosed. The use of MALDI-TOF<span class="elsevierStyleSup">®</span> and molecular biology (16S rRNA gene sequencing) are essential for their identification. Failures to differentiate the species <span class="elsevierStyleItalic">A. schaalii</span> and <span class="elsevierStyleItalic">A. sanguinis</span> by 16S rRNA gene sequencing have been reported.<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> In infections caused by this genus, the possibility of therapeutic failures with empirical treatments using quinolones or co-trimoxazole should be considered,<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a> with the use of beta-lactams being preferred.</p><p id="par0035" class="elsevierStylePara elsevierViewall">There are very few published cases of <span class="elsevierStyleItalic">A. urinale</span> infection<a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">9,10</span></a> (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The use of MALDI-TOF<span class="elsevierStyleSup">®</span> will help to diagnose infections caused by this microorganism.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:5 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Case report" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Microbiological diagnosis" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Final comments" ] 3 => array:2 [ "identificador" => "xack404210" "titulo" => "Acknowledgements" ] 4 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Parra-Grande M, Ortiz-Gorraiz MA, Abreu-di Berardino M, de la Rica-Martínez A. Hidrocele infectado. Enferm Infecc Microbiol Clin. 2019;37:341–343.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2372 "Ancho" => 2167 "Tamanyo" => 558078 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Culture in Wilkins–Chalgren agar. (B) Gram stain.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1510 "Ancho" => 2992 "Tamanyo" => 380856 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Chronological history of <span class="elsevierStyleItalic">Actinotignum</span>.<a class="elsevierStyleCrossRefs" href="#bib0060"><span class="elsevierStyleSup">2–6</span></a></p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0055" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Characterization of some A<span class="elsevierStyleItalic">ctinomyces</span>-like isolates from human clinical specimens: Reclassification of <span class="elsevierStyleItalic">Actinomyces suis</span> (Soltys and Spratling) as <span class="elsevierStyleItalic">Actinobaculum suis</span> comb. nov. and description of <span class="elsevierStyleItalic">Actinobaculum schaalii</span> sp. nov." "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P. Lawson" 1 => "E. Falsen" 2 => "E. Akervall" 3 => "P. Vandamme" 4 => "M.D. Collins" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1099/00207713-47-3-899" "Revista" => array:6 [ "tituloSerie" => "Int J Syst Bacteriol" "fecha" => "1997" "volumen" => "47" "paginaInicial" => "899" "paginaFinal" => "903" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9226926" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0060" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Infección por <span class="elsevierStyleItalic">Actinobaculum schaalii</span>" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "L. Álvarez" 1 => "P. López" 2 => "M. Ruiz" 3 => "G. 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Yassin" 1 => "C. Spröer" 2 => "R. Pukall" 3 => "M. Sylvester" 4 => "C. Siering" 5 => "P. Schumann" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1099/ijs.0.069294-0" "Revista" => array:6 [ "tituloSerie" => "Int J Syst Evol Microbiol" "fecha" => "2015" "volumen" => "65" "paginaInicial" => "615" "paginaFinal" => "624" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25406238" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0090" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical and microbiological features of <span class="elsevierStyleItalic">Actinotignum</span> bacteremia: a retrospective observational study of 57 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H. Pedersen" 1 => "E. Senneby" 2 => "M. 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Duerden" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1099/ijs.0.02422-0" "Revista" => array:7 [ "tituloSerie" => "Int J Syst Evol Microbiol" "fecha" => "2003" "volumen" => "53" "paginaInicial" => "679" "paginaFinal" => "682" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12807186" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S014067361630530X" "estado" => "S300" "issn" => "01406736" ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0100" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Isolation of <span class="elsevierStyleItalic">Actinobaculum schaalii</span> and <span class="elsevierStyleItalic">Actinobaculum urinale</span> from a patient with chronic renal failure" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "F. Fendukly" 1 => "B. Osterman" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1128/JCM.43.7.3567-3569.2005" "Revista" => array:6 [ "tituloSerie" => "J Clin Microbiol" "fecha" => "2005" "volumen" => "43" "paginaInicial" => "3567" "paginaFinal" => "3569" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16000509" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:4 [ "identificador" => "xack404210" "titulo" => "Acknowledgements" "texto" => "<p id="par0040" class="elsevierStylePara elsevierViewall">We would like to thank Dr. Pilar López García for dedicating her time and efforts to improve this article, and Dr. Juan A. Sáez for his contribution.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/2529993X/0000003700000005/v1_201904260616/S2529993X19300590/v1_201904260616/en/main.assets" "Apartado" => array:4 [ "identificador" => "63560" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Diagnosis at first sight" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/2529993X/0000003700000005/v1_201904260616/S2529993X19300590/v1_201904260616/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2529993X19300590?idApp=UINPBA00004N" ]