Multiple pyogenic liver abscesses caused by Streptococcus constellatus in the Amazon region. Case report

Rodrigues, André Luiz Santos; Soares, M. C. P.; Ramos, Francisco López; Meguins, Lucas Crociati

doi:10.1016/s1665-2681(19)31776-4

Cited by 7 publications

(3 citation statements)

References 6 publications

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“…Occasionally, abscesses arise from surgical or penetrating wounds and ingested foreign body [3]. In majority of cases, pyogenic liver abscesses are caused by K. pneumoniae and E. coli, but S. constellatus (member of S. melleri group) is also a known cause of liver abscess [1,[4][5]. A monomicrobial liver abscess due to a streptococcal or staphylococcal species should prompt evaluation for an additional source of infection, in particular infectious endocarditis and abscesses in other organs.…”

Section: Discussionmentioning

confidence: 99%

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Acute Presentation of Simultaneous Liver Abscesses Caused by Streptococcus constellatus

Riaz

Genao

Omore

2020

Cureus

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Simultaneous liver abscesses are rarely seen and reported. We are reporting a case of two simultaneous, complex liver abscesses in a patient who had no evidence of liver abscess on cross-sectional imaging close to three months prior to this presentation. These abscesses were 7-8 cm in size, large, and septated. Microbiological studies were positive for Streptococcus constellatus, which is a known cause of pyogenic liver abscess. In our patient, pyogenic liver abscesses were associated with bacteremia and sepsis. This patient was managed with broad spectrum parenteral antibiotics and percutaneous drainage with improvement in clinical condition. This patient was discharged home with a peripherally inserted central catheter (PICC) line in place to complete a six-week course of parenteral antibiotics. A complete history and physical with pertinent examination findings are key to diagnosis of liver abscess. S. constellatus should be considered in the differential diagnosis of patients with liver abscess and sepsis.

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Section: Discussionmentioning

confidence: 99%

“…Mohanty et al had reported a case of liver abscess due to S. constellatus managed with surgical intervention and parenteral IV antibiotics with clinical recovery and abscess resolution [5]. Liver abscesses with S. constellatus may lead to rupture and need surgical drainage with laparotomy [4].…”

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confidence: 99%

Acute Presentation of Simultaneous Liver Abscesses Caused by Streptococcus constellatus

Riaz

Genao

Omore

2020

Cureus

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“…Streptococcus constellatus is a gram-positive and catalase test-negative coccus, it was reported to cause liver abscess, cerebellar abscess and empyema in patients with immunosuppression. 1 , 2 Risk factors for Streptococcus constellatus infection include history of smoking, alcohol abuse, chronic pulmonary disease, periodontal disease and diabetes mellitus. 3 , 4 The special culture of Streptococcus constellatus should be accessed to oxygen and higher concentration of carbon dioxide, 5 making it difficult to be detected.…”

Section: Introductionmentioning

confidence: 99%

Multiple Lung Cavity Lesions, Thoracic Wall Abscess and Vertebral Destruction Caused by Streptococcus constellatus Infection: A Case Report

Su¹,

Rao²,

Pan³

et al. 2023

IDR

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Disseminated infection caused by Streptococcus constellatus was seldom occurred. We reported a case of Streptococcus constellatus infection, presenting as multiple pulmonary cavities, thoracic wall abscess and vertebral destruction. The 37-year-old male had recurrent fever, chest wall swelling and pain, and lower limb numbness, he had weak physical condition and previously suffered from poorly controlled diabetes and severe periodontal disease for 3 years. Definite diagnosis of Streptococcus constellatus infection was made by metagenomic next‑generation sequencing (mNGS) in abscess drainage fluid. Systemic antibiotics and thoracic wall drainage were given, and the pulmonary cavity and the thoracic intermuscular abscess were significantly decreased. Few to no study reported the disseminated infection (pulmonary cavities, thoracic wall abscess and vertebral destruction) caused by Streptococcus constellatus . This case report highlighted the importance of mNGS for accurate diagnosis, as well as the timely drainage and antibiotics for effective treatment of Streptococcus constellatus infection.

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A rare case of massive pericardial effusion due to spontaneous rupture of Streptococcus anginosus group liver abscess

Prateepchaiboon

Akarapatima

Pisudtinontakul

et al. 2020

Clin J Gastroenterol

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Multiple pyogenic liver abscesses caused by Streptococcus constellatus in the Amazon region. Case report

Cited by 7 publications

References 6 publications

Acute Presentation of Simultaneous Liver Abscesses Caused by Streptococcus constellatus

Acute Presentation of Simultaneous Liver Abscesses Caused by Streptococcus constellatus

Multiple Lung Cavity Lesions, Thoracic Wall Abscess and Vertebral Destruction Caused by Streptococcus constellatus Infection: A Case Report

A rare case of massive pericardial effusion due to spontaneous rupture of Streptococcus anginosus group liver abscess

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