PT  - JOURNAL ARTICLE
AU  - Angy Hanna
AU  - Zaid Imam
AU  - Fadi Odish
AU  - Bhavin Dalal
TI  - Multiple liver abscesses caused by <em>S</em>
<em>treptococcus intermedius</em> bacteremia in the setting of a routine dental cleaning
AID  - 10.1136/bcr-2019-233097
DP  - 2020 Feb 01
TA  - BMJ Case Reports
PG  - e233097
VI  - 13
IP  - 2
4099  - http://casereports.bmj.com/content/13/2/e233097.short
4100  - http://casereports.bmj.com/content/13/2/e233097.full
SO  - BMJ Case Reports2020 Feb 01; 13
AB  - 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.