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Unusual association of diseases/symptoms
CASE REPORT
Streptococcus anginosus endocarditis and multiple liver abscesses in a splenectomised patient
  1. Talya Finn1,
  2. Ami Schattner2,3,
  3. Ina Dubin3,
  4. Regev Cohen1
  1. 1Infectious Diseases Unit, Laniado Hospital, Sanz Medical Centre, Netanya, Israel
  2. 2Faculty of Medicine, Hebrew University and Hadassah Medical School, Jerusalem, Israel
  3. 3Department of Medicine, Laniado Hospital, Sanz Medical Centre, Netanya, Israel
  1. Correspondence to Professor Ami Schattner, amischatt{at}gmail.com

Summary

An unusual case of infective endocarditis and concurrent multiple liver abscesses both caused by Streptococcus anginosus in a splenectomised patient is reported. The microorganism is a very rare cause of endocarditis and its presentation with multiple liver abscesses is highly unusual. It was initially misdiagnosed as Streptococcus sanguinis and issues relating to the different clinical presentations of S. anginosus including the rare cases of endocarditis, the role of the patient’s splenectomy and problems that may contribute to its potential laboratory misidentifications are discussed.

  • Infective endocarditis
  • Streptococcus anginosus
  • Liver abscess

https://doi.org/10.1136/bcr-2018-224266

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    Footnotes

    • Contributors The patient was treated by all the authors and follow-up was done by TF and RC. TF, AS and RC planned the investigations and interpreted the results. The manuscript was primarily written by AS with significant input by TF, ID and RC.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.