Arcanobacterium Haemolyticum Treatment & Management

Updated: Apr 24, 2017
  • Author: Nicole Ufkes; Chief Editor: William D James, MD  more...
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Treatment

Medical Care

Without antibiotic therapy, symptoms from Arcanobacterium haemolyticum pharyngeal infection last from a few days to 2 weeks. With antibiotic therapy, patients have symptoms for an average of 3 days. [38]  Whether antimicrobial therapy prevents late sequelae of infection is not known. However, the fact that the organism's prevalence may be increasing and because some of infections may be serious, antibiotic therapy is recommended. [61]  A 2015 study of isolates from soft-tissue infections revealed susceptibility to minocycline, vancomycin, and beta-lactam antibiotics, but several strains resistant to gentamicin and levofloxacin. [40]

Occasionally, a patient who appears very ill with pharyngitis caused by Arcanobacterium haemolyticum (ie, unable to swallow, illness is severe) may require admission for administration of parenteral antibiotics.

Admit patients with systemic infections caused by A haemolyticum to administer parenteral antibiotics and manage their infection in a way similar to that of a patient with bacteremia or focal abscess.

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Surgical Care

Patients who develop a peritonsillar abscess require incision and drainage in addition to antibiotics.

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Consultations

Consult an otolaryngologist to drain any suspected peritonsillar abscesses.

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Diet

No specific dietary recommendations are indicated for this disease.

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Activity

Patients can perform their normal activities.

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Prevention

Although epidemiologic contact studies suggest that the disease is spread from human to human, the exact mechanism of spread has not been determined. However, it is not unreasonable to suggest that judicious handwashing and avoiding shared utensils and food may help to prevent the spread of the disease.

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