OJOG> Vol.2 No.3, September 2012

Intra-abdominal abscesses secondary to Streptococcus anginosus infection in a postpartum patient: A case report and review of the literature

DownloadDownload as PDF (Size:431KB)  HTML    PP. 235-238  

ABSTRACT

Although rare, infection with Streptococcus anginosus has a known predilection for abscess formation. We report here a case of a 20 year-old, otherwise healthy female patient noted to have developed abdominal and pelvic abscesses secondary to Streptococcus anginosus infection. Although the inciting focus of the pathogen remains unclear in our patient, this case report emphasizes the importance of rapid identification of the organism and highlights the approach to therapeutic options in the management of such cases.

Cite this paper

Shabana, R. , Berbiglia, L. , Barnwell, J. , Cheek, R. , Wolf, M. and Gonik, B. (2012) Intra-abdominal abscesses secondary to Streptococcus anginosus infection in a postpartum patient: A case report and review of the literature. Open Journal of Obstetrics and Gynecology, 2, 235-238. doi: 10.4236/ojog.2012.23048.

References

[1] Singh, K.P., Morris, A., Lang, S.D., MacCulloch, D.M. and Bremner, D.A. (1988) Clinically significant Streptococcus anginosus (Streptococcus milleri) infections: A review of 186 cases. New Zealand Medical Journal, 101, 813-816.
[2] Ruoff, K.L. (1988) Streptococcus anginosus (Streptococcus milleri): The unrecognized pathogen. Clinical Microbiology Reviews, 1, 102-128.
[3] Claridge, J.E., et al. (2001) Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus (Streptococcus milleri group) are of different clinical importance and are not equally associated with abscess. Clinical Infectious Diseases, 32, 1511-1515. doi:10.1086/320163
[4] Facklam, R. (2002) What happened to the streptococci: Overview of taxonomic and nomenclature changes. Clinical Microbiology Reviews, 15, 613-630. doi:10.1128/CMR.15.4.613-630.2002
[5] Admon, D., Ephros, M.A., Gavish, D. and Raz, R. (1987) Infection with Streptococcus milleri. Journal of Infection, 14, 55-60. doi:10.1016/S0163-4453(87)90834-6
[6] Jacobs, J.A., Pietersen, H.G., Stobberingh, E.E. and Soeters, P.B. (1994) Bacteremia involving the ‘Streptococcus milleri’ group: Analysis of 19 cases. Clinical Infectious Diseases, 19, 704-713. doi:10.1093/clinids/19.4.704
[7] Salavert, M., Gomez, L., Rodriguez-Carballeira, M., Xercavins, M., Freixas, N. and Garau, J. (1996) Seven-year review of bacteremia caused by Streptococcus milleri and other viridans streptococci. European Journal of Clinical Microbiology & Infectious Diseases, 15, 365-371. doi:10.1007/BF01690091
[8] Treszezamsky, A.D. and Feldman, D., Sarabanchong, V.O. (2011) Concurrent postpartum uterine and abdominal wall dehiscence and Stretococcus anginosus infection. Obstetrics & Gynecology, 118, 449-451. doi:10.1097/AOG.0b013e31821619e9
[9] Lampen, R. and Bearman, G. (2005) Epidural abscess caused by Streptococcus milleri in a pregnant woman. BMC Infectious Diseases, 5, 100. doi:10.1186/1471-2334-5-100
[10] Cox, R.A., Chen, K., Coykendall, A.L., Wesbecher, P. and Herson, V.C. (1987) Fatal infection in neonates of 26 weeks’ gestation due to Streptococcus milleri: Report of two cases. Journal of Clinical Pathology, 40, 190-193. doi:10.1136/jcp.40.2.190
[11] MacGowan, A.P. and Terry, P.B. (1987) Streptococcus milleri and second trimester abortion. Journal of Clinical Pathology, 40, 292-293. doi:10.1136/jcp.40.3.292
[12] Poole, P.M. and Wilson, G. (1977) Streptococcus milleri in the appendix. Journal of Clinical Pathology, 30, 937-942. doi:10.1136/jcp.30.10.937
[13] Gohl, J., Gmeinwieser, J. and Gusinde, J. (1999) Intraabdominal abscesses. Intervention versus surgical treatment. Zentralblatt fur Chirurgie, 124, 187-194.
[14] Cinat, M.E., Wilson, S.E. and Din, A.M. (2002) Determinants for successful percutaneous image-guided drainage of intra-abdominal abscess. Archives of Surgery, 137, 845-849. doi:10.1001/archsurg.137.7.845
[15] Johnson, W.C., Gerzof, S.G., Robbins, A.H. and Nabseth, D.C. (1981) Treatment of abdominal abscesses: Comparative evaluation of operative drainage versus percutaneous catheter drainage guided by computed tomography or ultrasound. Annals of Surgery, 194, 510-520. doi:10.1097/00000658-198110000-00014
[16] Van Sonnenberg, E., et al. (1984) Percutaneous drainage of 250 abdominal abscesses and fluid collections. Part I: Results, failures, and complications. Radiology, 151, 337-341.

comments powered by Disqus

Copyright © 2014 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.