%0 Case Reports %T Neurological disease may precede lymphadenopathies in Actinomyces europaeus infection. %A Corcione S %A Curtoni A %A Paolucci IA %A Di Perri G %A De Rosa FG %A Cavallo R %J J Infect Public Health %V 11 %N 4 %D Jul 2018 0 %M 29277334 %F 7.537 %R 10.1016/j.jiph.2017.12.010 %X Actinomyces species are part of the commensal flora of the mucous membranes of the oropharynx, gastrointestinal tract and female genital tract. Actinomyces europaeus is a short, nonmotile, facultative anaerobic rod first described in 1997, susceptible in vitro to a wide range of b-lactam antibiotics which are regarded as first choice. In this report we described the case of A. europaeus infection in a young female patient admitted to Intensive Care Unit and the possible damage of vascular endothelium due to a chronic progressive actinomycosis that at first involved neck soft tissue, then cervical lymphnodes, and finally extended to the vascular structure.