Multiple liver abscesses caused by Streptococcus intermedius bacteremia in the setting of a routine dental cleaning

Authors

Angy Hanna, Beaumont Health Resident
Zaid Imam, Beaumont health Fellow
Fadi Odish, Beaumont Health Resident
Bhavin Dalal, Beaumont Health

Document Type

Article

Publication Date

2-28-2020

Publication Title

BMJ Case Reports

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.

Volume

13

Issue

2

First Page

233097

Last Page

233097

Recommended Citation

Hanna A, Imam Z, Odish F, Dalal B. Multiple liver abscesses caused by Streptococcus intermedius bacteremia in the setting of a routine dental cleaning. BMJ Case Rep. 2020 Feb 28;13(2):e233097. doi: 10.1136/bcr-2019-233097. PMID: 32111710; PMCID: PMC7050308.

DOI

10.1136/bcr-2019-233097

ISSN

1757-790X

PubMed ID

32111710