Arcanobacterium haemolyticum
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Arcanobacterium haemolyticum /
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Background
- Non-motile beta-hemolytic, Gram-positive bacillus
Clinical Manifestations
- Most commonly causes pharyngitis, but can also cause meningitis, pneumonia, brain abscess, osteomyelitis, and peritonsillar abscess
- Rash in 25-50%, which may be urticarial, macular, or maculopapular
- Typically on trunk and extremities, and spares the palms, soles, and face
Management
- First-line antibiotic is erythromycin due to increasing penicillin resistance