RT Journal Article
SR Electronic
T1 Multiple liver abscesses caused by <em>S</em>
<em>treptococcus intermedius</em> bacteremia in the setting of a routine dental cleaning
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e233097
DO 10.1136/bcr-2019-233097
VO 13
IS 2
A1 Angy Hanna
A1 Zaid Imam
A1 Fadi Odish
A1 Bhavin Dalal
YR 2020
UL http://casereports.bmj.com/content/13/2/e233097.abstract
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.