Chronic fibular osteomyelitis caused by Schaalia turicensis: A case report and literature review - Takeaways - MDSpire
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Chronic Osteomyelitis of the Fibula Associated with Schaalia turicensis: A Case Study and Review of Existing Literature

  • By

  • Li Cai

  • Jie Chen

  • Weiwei Hu

  • Min Xi

  • Yi Zhang

  • Xiaohua Chen

  • September 3, 2026

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  • 1

    Chronic osteomyelitis can follow trauma or surgery and may result in persistent infection, progressive bone destruction, and substantial morbidity.

  • 2

    Obtaining viable deep-tissue specimens from the site of infection is important for accurate pathogen identification in chronic osteomyelitis.

  • 3

    Schaalia turicensis, formerly classified as Actinomyces turicensis, is an indolent pathogen that can cause chronic osteomyelitis and may be difficult to identify.

  • 4

    The authors report the first chronic S. turicensis fibular osteomyelitis in an immunocompetent host.

  • 5

    After mNGS identified S. turicensis, intravenous penicillin G was initiated; treatment was later changed to oral clindamycin after culture identified Actinomyces species and methicillin-resistant Staphylococcus epidermidis, followed by clinical improvement and discharge.

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