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1
Chronic osteomyelitis can follow trauma or surgery and may result in persistent infection, progressive bone destruction, and substantial morbidity.
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2
Obtaining viable deep-tissue specimens from the site of infection is important for accurate pathogen identification in chronic osteomyelitis.
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3
Schaalia turicensis, formerly classified as Actinomyces turicensis, is an indolent pathogen that can cause chronic osteomyelitis and may be difficult to identify.
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4
The authors report the first chronic S. turicensis fibular osteomyelitis in an immunocompetent host.
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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.