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Unusual presentation of more common disease/injury
Case report
Multiple liver abscesses caused by S treptococcus intermedius bacteremia in the setting of a routine dental cleaning
  1. Angy Hanna1,
  2. Zaid Imam1,
  3. Fadi Odish1 and
  4. Bhavin Dalal2
  1. 1 Department of Internal Medicine, William Beaumont Hospital, Royal Oak, Michigan, USA
  2. 2 Department of Pulmonary Critical Care and Sleep Medicine, William Beaumont Hospital, Royal Oak, Michigan, USA
  1. Correspondence to Dr Angy Hanna; angyhanna11{at}gmail.com

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.

  • infections
  • infection (gastroenterology)
  • hepatitis and other GI infections

https://doi.org/10.1136/bcr-2019-233097

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    Footnotes

    • Twitter @bhavinddalal

    • Contributors AH and FO assisted in writing the article and assisted in the literature search. ZI and BD assisted in writing and revising the article critically.

    • 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 for publication Obtained.

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