Open AccessMultiple liver abscesses caused by Streptococcus intermedius bacteremia in the setting of a routine dental cleaning
Author(s) -
Angy Hanna,
Zaid Imam,
Fadi Odish,
Bhavin Dalal
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-233097
Subject(s) - medicine , streptococcus intermedius , bacteremia , septic shock , pyogenic liver abscess , gastrointestinal tract , liver abscess , antibiotics , abscess , sepsis , surgery , streptococcus , microbiology and biotechnology , bacteria , genetics , biology
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.