Streptococcus intermedius Bacteremia and Liver Abscess following a Routine Dental Cleaning

Streptococcus intermedius is a member of the Streptococcus anginosus group of bacteria. This group is part of the normal flora of the oropharynx, genitourinary, and gastrointestinal tracts; however, they have been known to cause a variety of purulent infections including meningitis, endocarditis, an...

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Main Authors: Lachara V. Livingston, Elimarys Perez-Colon
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2014/954046
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author Lachara V. Livingston
Elimarys Perez-Colon
author_facet Lachara V. Livingston
Elimarys Perez-Colon
author_sort Lachara V. Livingston
collection DOAJ
description Streptococcus intermedius is a member of the Streptococcus anginosus group of bacteria. This group is part of the normal flora of the oropharynx, genitourinary, and gastrointestinal tracts; however, they have been known to cause a variety of purulent infections including meningitis, endocarditis, and abscesses, even in immunocompetent hosts. In particular, S. intermedius has been associated with the development of liver and brain abscesses. There have been several case reports of S. intermedius liver abscesses with active periodontal infection. To our knowledge, however, there has not been a case following a routine dental procedure. In fact, the development of liver abscesses secondary to dental procedures is very rare in general, and there are only a few case reports in the literature describing this in relation to any pathogen. We present a rare case of S. intermedius bacteremia and liver abscess following a dental cleaning. This case serves to further emphasize that even routine dental procedures can place a patient at risk of the development of bacteremia and liver abscesses. For this reason, the clinician must be sure to perform a detailed history and careful examination. Timely diagnosis of pyogenic liver abscesses is vital, as they are typically fatal if left untreated.
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spelling doaj-art-559e330f4538445cad2d922c4d6137662025-02-03T06:04:47ZengWileyCase Reports in Infectious Diseases2090-66252090-66332014-01-01201410.1155/2014/954046954046Streptococcus intermedius Bacteremia and Liver Abscess following a Routine Dental CleaningLachara V. Livingston0Elimarys Perez-Colon1Department of Internal Medicine, Morsani College of Medicine, University of South Florida, 17 Davis Boulevard, Suite 308, Tampa, FL 33606, USADepartment of Internal Medicine, Morsani College of Medicine, University of South Florida, 17 Davis Boulevard, Suite 308, Tampa, FL 33606, USAStreptococcus intermedius is a member of the Streptococcus anginosus group of bacteria. This group is part of the normal flora of the oropharynx, genitourinary, and gastrointestinal tracts; however, they have been known to cause a variety of purulent infections including meningitis, endocarditis, and abscesses, even in immunocompetent hosts. In particular, S. intermedius has been associated with the development of liver and brain abscesses. There have been several case reports of S. intermedius liver abscesses with active periodontal infection. To our knowledge, however, there has not been a case following a routine dental procedure. In fact, the development of liver abscesses secondary to dental procedures is very rare in general, and there are only a few case reports in the literature describing this in relation to any pathogen. We present a rare case of S. intermedius bacteremia and liver abscess following a dental cleaning. This case serves to further emphasize that even routine dental procedures can place a patient at risk of the development of bacteremia and liver abscesses. For this reason, the clinician must be sure to perform a detailed history and careful examination. Timely diagnosis of pyogenic liver abscesses is vital, as they are typically fatal if left untreated.http://dx.doi.org/10.1155/2014/954046
spellingShingle Lachara V. Livingston
Elimarys Perez-Colon
Streptococcus intermedius Bacteremia and Liver Abscess following a Routine Dental Cleaning
Case Reports in Infectious Diseases
title Streptococcus intermedius Bacteremia and Liver Abscess following a Routine Dental Cleaning
title_full Streptococcus intermedius Bacteremia and Liver Abscess following a Routine Dental Cleaning
title_fullStr Streptococcus intermedius Bacteremia and Liver Abscess following a Routine Dental Cleaning
title_full_unstemmed Streptococcus intermedius Bacteremia and Liver Abscess following a Routine Dental Cleaning
title_short Streptococcus intermedius Bacteremia and Liver Abscess following a Routine Dental Cleaning
title_sort streptococcus intermedius bacteremia and liver abscess following a routine dental cleaning
url http://dx.doi.org/10.1155/2014/954046
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