Pharyngotonsillitis due to Arcanobacterium haemolyticum in northern Israel

Isr Med Assoc J. 2005 Apr;7(4):241-2.

Abstract

Background: Arcanobacterium haemolyticum is a well-recognized but uncommon cause of pharyngitis and skin rash in adolescents and young adults. To date, no data regarding its frequency in Israel have been published.

Objective: To establish the frequency of A. haemolyticum in throat cultures in a northern Israeli population and to estimate the clinical significance of this pathogen in patients with sore throat.

Methods: We examined suspected colonies for A haemolyticum by gram stain, catalase test and reverse CAMP test in 518 throat cultures sent to the microbiologic laboratory of HaEmek Medical Center.

Results: Of the throat cultures tested, A. haemolyticum was recovered from one patient (0.2%). In contrast, group A Streptococcus (Streptococcus pyogenes) was recovered from 135 patients (26%).

Conclusion: A hemolyticum is an uncommon pathogen implicated in acute pharyngitis, therefore routine screening in throat swabs is not required.

MeSH terms

  • Actinomycetaceae / isolation & purification*
  • Actinomycetaceae / pathogenicity
  • Actinomycetales Infections / diagnosis*
  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Israel
  • Middle Aged
  • Pharyngitis / microbiology*
  • Tonsillitis / microbiology*