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  • Title: Multiple liver abscesses caused by S treptococcus intermedius bacteremia in the setting of a routine dental cleaning.
    Author: Hanna A, Imam Z, Odish F, Dalal B.
    Journal: BMJ Case Rep; 2020 Feb 28; 13(2):. PubMed ID: 32111710.
    Abstract:
    Streptococcus intermedius is a Gram-positive cocci, normally found in the oral cavity and gastrointestinal tract. It has been associated with deep-seated purulent abscesses commonly in the brain or liver in immunocompromised patients. Here, we discuss the case of a 21-year-old immunocompetent patient that presented with septic shock in the setting of multiple pyogenic liver abscesses with positive blood cultures for S. intermedius The patient had a dental cleaning 3 months prior to admission. The abscesses resolved with ultrasound guided drainage and antibiotic therapy.
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