Streptococcus milleri liver abscesses: an unusual complication after colonoscopic removal of an impacted fish bone

Paraskeva, K; Bury, Roger W.; Isaacs, Peter

doi:10.1016/s0016-5107(00)70372-5

Cited by 22 publications

(13 citation statements)

References 13 publications

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“…A recent retrospective cohort study shows that the incidence of pyogenic liver abscesses is 2.44 times higher in patients with colonic diverticular diseases than those without diverticular disease, diverticulosis (2.26), and diverticulitis (1.98) [6]. Because the Streptococcus milleri group belongs to the normal intestinal flora, damage to the intestinal mucosa plays an initial role in disseminating the microbe via the portal blood stream, leading to the formation of a liver abscess [7]. In our case, the origin of infection was likely from the existence of diverticulosis.…”

Section: Discussionmentioning

confidence: 99%

Multiple Liver Abscesses Caused byStreptococcus constellatus: A Case Report

TakeuchiNobuhiro

NaitoHiromichi

YumotoTetsuya

et al. 2017

Surgical Infections Case Reports

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Background: Pyrogenetic liver abscess is often caused by gram-negative bacilli, including Escheria coli or Klebsiella pneumoniae, but rarely by Streptococcus constellatus. Streptococcus constellatus is a commensal of the oral cavity, respiratory tract system, intestine, and urogenital organs. Herein, we report a case of multiple liver abscesses caused by Streptococcus constellatus. Case Presentation: A 66-year-old male presented with a high-grade fever with no known source. Laboratory analysis revealed severely elevated inflammation levels, moderately increased liver and biliary enzymes, and moderately worsened renal function. Sonazoid Ò (GE Healthcare AS, Oslo, Norway)-enhanced sonography revealed marginally contrast-enhanced masses with a non-contrastenhanced center. On the basis of these results, the patient was diagnosed with multiple liver abscesses. Subsequently, meropenem 1 g/d was prescribed. On day two, percutaneous abscess drainage was performed. Culture from abscess drainage and blood culture revealed the presence of Streptococcus constellatus. Because of antibiotic sensitivity, meropenem was replaced by piperacillin 6 g/d. Clinical course was uneventful and the patient was discharged on day 53. Conclusion: The pathogenic potential of Streptococcus constellatus has been recognized recently. Although the Streptococcus milleri group has been focused on primarily for its commensal nature, clinicians need to be aware of its pathogenic nature and biologic character of forming liver abscesses.

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Section: Discussionmentioning

confidence: 99%

Multiple Liver Abscesses Caused byStreptococcus constellatus: A Case Report

TakeuchiNobuhiro

NaitoHiromichi

YumotoTetsuya

et al. 2017

Surgical Infections Case Reports

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“…However, a case report case report ©2013 Pulsus Group Inc. All rights reserved describing a septic thrombophlebitis of the hepatic veins following a therapeutic colonoscopy has been published (7). In addition, colonoscopy has also been implicated in two cases of PLA (8,9): one case was after a malignant polypectomy (8); the other was after removal of an impacted fish bone (9). Transient bacteremia, which occurs in 4% of colonoscopies, does not appear to be associated with an increased risk of infection (21).…”

Section: Discussionmentioning

confidence: 99%

Streptococcus anginosus Pyogenic Liver Abscess following a Screening Colonoscopy

Bonenfant

Rousseau

Farand

2013

Canadian Journal of Infectious Diseases and Medical Microbiolog

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A previously healthy 58-year-old man presented with a septic thrombosis of the right hepatic vein and a pyogenic liver abscess (PLA) one week after undergoing a screening colonoscopy. Blood cultures and a radiological drainage specimen were both positive for Streptococcus anginosus. Evolution was favourable after six weeks of antibiotherapy. To the authors' knowledge, the present report is the first to describe a PLA following a screening colonoscopy with no intervention. The authors hypothesize that silent microperforations during colonoscopy contributed to the infection. Although 20% to 40% of reported PLA cases are cryptogenic in the literature, it may be because of failure to recognize and report a precipitating factor such as colonoscopy. As more cases similar to the present case are reported, the number of cryptogenic cases may decrease.

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“…milleri' epidural abscess in pregnancy (Lampen & Bearman, 2005) and post-scorpion sting 'S. milleri' endocarditis (Wheatley et al, 2005), or infection as a complication of colonoscopic procedures (Paraskeva et al, 2000). Furthermore, the capacity for rapid transformation into a life-threatening infection (Bala et al, 2006) reinforces the importance of timely and appropriate management of group C streptococcal infections.…”

Section: Discussionmentioning

confidence: 99%

‘Streptococcus milleri’ aortic valve endocarditis and hepatic abscess

Rashid

Salah

Parada

2007

Journal of Medical Microbiology

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Although well-recognized animal pathogens, group C streptococci are relatively rare causes of human infection. The phenotypically small-colony group C ‘Streptococcus milleri’ are typically associated with suppurative disease of soft tissue and organs, including liver abscesses, while bacteraemia and endocarditis are distinctly less common. Herein, a case of ‘S. milleri’ causing both endocarditis and liver abscess in the same patient is reported.

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Streptococcus milleri liver abscesses: an unusual complication after colonoscopic removal of an impacted fish bone

Cited by 22 publications

References 13 publications

Multiple Liver Abscesses Caused byStreptococcus constellatus: A Case Report

Multiple Liver Abscesses Caused byStreptococcus constellatus: A Case Report

Streptococcus anginosus Pyogenic Liver Abscess following a Screening Colonoscopy

‘Streptococcus milleri’ aortic valve endocarditis and hepatic abscess

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