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