Evidence map›Paper›PMID 41654754›Full record

ReviewBMC infectious diseases2026

Necrotizing fasciitis caused by Actinomyces europaeus: a case report and literature review.

Ruifeng Qi, Jinxiang Dong, Hongyue Pan, Mingliang Ma, Zhigang Wang, Nan Zhou

Abstract readCase ReportsReview
In one paragraph

Review in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ruifeng Qi *Department of Orthopaedic and Traumatology, Binzhou Medical University Hospital, Binzhou, 256603, China.
Jinxiang Dong *Department of Orthopaedic and Traumatology, Binzhou Medical University Hospital, Binzhou, 256603, China.
Hongyue PanDepartment of Orthopaedic and Traumatology, Binzhou Medical University Hospital, Binzhou, 256603, China.
Mingliang MaDepartment of Orthopaedic and Traumatology, Binzhou Medical University Hospital, Binzhou, 256603, China.
Zhigang WangDepartment of Orthopaedic and Traumatology, Binzhou Medical University Hospital, Binzhou, 256603, China.
Nan ZhouDepartment of Orthopaedic and Traumatology, Binzhou Medical University Hospital, Binzhou, 256603, China. znherbert@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNecrotizing fasciitis caused by Actinomyces europaeus is rare, here we report a case of necrotizing fasciitis caused by Actinomyces europaeus infection in a 43-year-old adult male from China. CASE PRESENTATION: A 43-year-old man with inguinal necrotizing fasciitis who initially received clindamycin but showed poor response. Subsequent cultures revealed polymicrobial infection, and therapy was switched to piperacillin-tazobactam with repeated surgical debridement. He was later discharged on oral amoxicillin-clavulanate for three months and fully recovered without recurrence. This case underscores the importance of early recognition, appropriate antimicrobial choice, and aggressive surgical management in Actinomyces europaeus infections. Literature review indicates that treatment duration varies with infection site and tissue vascularity, and β-lactam/β-lactamase inhibitor combinations remain the most effective option.

conclusionsEuropean actinomycosis is a rare disease, and the key to treatment is the correct application of antibiotics and effective debridement. CLINICAL TRIAL: Not applicable

Indexed as

ActinomycesActinomycosisFasciitis, NecrotizingAdultAnti-Bacterial AgentsChinaClindamycinDebridementHumansMaleTreatment OutcomeAnti-Bacterial AgentsClindamycinActinomyces europaeusInfectionNecrotizing fasciitis

Identifiers

PMID41654754
PMCPMC12977805

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.