Streptococcus anginosus Pyogenic Liver Abscess following a Screening Colonoscopy
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 fa...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Canadian Journal of Infectious Diseases and Medical Microbiology |
| Online Access: | http://dx.doi.org/10.1155/2013/802545 |
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| _version_ | 1832555147662721024 |
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| author | Francis Bonenfant Étienne Rousseau Paul Farand |
| author_facet | Francis Bonenfant Étienne Rousseau Paul Farand |
| author_sort | Francis Bonenfant |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-3b6c18b912fc492eaf2fdd6b4c6f51a0 |
| institution | Kabale University |
| issn | 1712-9532 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases and Medical Microbiology |
| spelling | doaj-art-3b6c18b912fc492eaf2fdd6b4c6f51a02025-02-03T05:49:29ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322013-01-01242e45e4610.1155/2013/802545Streptococcus anginosus Pyogenic Liver Abscess following a Screening ColonoscopyFrancis Bonenfant0Étienne Rousseau1Paul Farand2Internal medicine division, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, CanadaInternal medicine division, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, CanadaInternal medicine division, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, CanadaA 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.http://dx.doi.org/10.1155/2013/802545 |
| spellingShingle | Francis Bonenfant Étienne Rousseau Paul Farand Streptococcus anginosus Pyogenic Liver Abscess following a Screening Colonoscopy Canadian Journal of Infectious Diseases and Medical Microbiology |
| title | Streptococcus anginosus Pyogenic Liver Abscess following a Screening Colonoscopy |
| title_full | Streptococcus anginosus Pyogenic Liver Abscess following a Screening Colonoscopy |
| title_fullStr | Streptococcus anginosus Pyogenic Liver Abscess following a Screening Colonoscopy |
| title_full_unstemmed | Streptococcus anginosus Pyogenic Liver Abscess following a Screening Colonoscopy |
| title_short | Streptococcus anginosus Pyogenic Liver Abscess following a Screening Colonoscopy |
| title_sort | streptococcus anginosus pyogenic liver abscess following a screening colonoscopy |
| url | http://dx.doi.org/10.1155/2013/802545 |
| work_keys_str_mv | AT francisbonenfant streptococcusanginosuspyogenicliverabscessfollowingascreeningcolonoscopy AT etiennerousseau streptococcusanginosuspyogenicliverabscessfollowingascreeningcolonoscopy AT paulfarand streptococcusanginosuspyogenicliverabscessfollowingascreeningcolonoscopy |