Treatment and outcome a pus culture positive for N. transvalensis a sensitive to aminoglycosides quinolones tetracycline, ceftriaxone, and TmP-SMX a resistant to macrolides, amoxicillin-clavulanate. and meropenem-Imlpenem received a multidrug approach with ceftriaxone minocycline and moxifloxacin accompanied by tmp-SMXTreatment and outcome p pus culture posi<ve for N. transvalensis p sensi<ve to aminoglycosides, quinolones, tetracycline, ceXriaxone, and TMP-SMX p resistant to macrolides, amoxicillin-clavulanate, and meropenem-imipenem p received a mul<drug approach with ceXriaxone, minocycline, and moxifloxacin accompanied by TMP-SMX