A case of bacteremia with the fastidious bacteria Actinomyces urogenitalis following lengthy urinary retention is reported in a sixty-year-old man. In 2013, the first case of bacteremia due to A. urogenitalis was presented, secondary to a tubo-ovarian abscess following transvaginal oocyte retrieval. To the best of our knowledge, this is the first male bacteremic episode involving A. urogenitalis related to a urinary tract focus. The patient had no prior urogenital medical history. Extensive susceptibility testing was done on isolates from urinary and blood cultures. The organism exhibited fluoroquinolone resistance but was susceptible to most other antibiotics used in the treatment of urinary infections. Due to its unusual growth requirements infections with A. urogenitalis are most likely an underdiagnosed entity.

中文翻译：

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长期尿retention留后泌尿放线菌的细菌血症和泌尿生殖道感染。

据报道，一名60岁的男子长期尿retention留后，发生了一种带有精挑细选的细菌的泌尿生殖放线菌菌血症。2013年，首次报告了由泌尿生殖道杆菌引起的菌血症，这是继经阴道卵母细胞取出后继发于大卵巢卵巢脓肿之后的细菌血症。据我们所知，这是涉及泌尿道疾病的首例涉及泌尿生殖道杆菌的男性细菌发作。该患者先前没有泌尿生殖系统病史。对尿液和血液培养物的分离物进行了广泛的药敏试验。该生物体显示出对氟喹诺酮类耐药性，但对治疗尿路感染使用的大多数其他抗生素敏感。由于其异常的生长要求，因此泌尿生殖道感染很可能是诊断不足的实体。