Multiple liver abscesses caused by Streptococcus intermedius bacteremia in the setting of a routine dental cleaning. Issue 2 (28th February 2020)

• Record Type: Journal Article
• Authors: Hanna, Angy; Imam, Zaid; Odish, Fadi; Dalal, Bhavin
• Is Part Of: BMJ case reports. Volume 13:Issue 2(2020)
• Publication Date: 2020-02-28
• Subjects: infections -- infection (gastroenterology) -- hepatitis and other GI infections; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2019-233097
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Streptococcus intermedius is a Gram-positive cocci, normally found in the oral cavity and gastrointestinal tract. It has been associated with deep-seated purulent abscesses commonly in the brain or liver in immunocompromised patients. Here, we discuss the case of a 21-year-old immunocompetent patient that presented with septic shock in the setting of multiple pyogenic liver abscesses with positive blood cultures for S. intermedius . The patient had a dental cleaning 3 months prior to admission. The abscesses resolved with ultrasound guided drainage and antibiotic therapy.