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Actinotignum schaalii is a gram-positive, facultative anaerobic bacillus, an opportunist agent that is underestimated or mistaken as a contaminant. In this article, we present a case of sepsis with multiorgan dysfunction due to acute pyelonephritis complicated by A. schaalii bacteraemia in an elderly patient with diabetes mellitus, chronic obstructive renal disease, benign prostatic hyperplasia, renal lithiasis and chronic urinary device. Through specific laboratory techniques such asdoi:10.22546/54/1816 fatcat:tajjtgfmbneflctvt5gbesy4ui