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Streptococcus constellatus bacteremia causing septic shock following tooth extraction: a case report
Kay Wei Ping Ng1, Amartya Mukhopadhyay
1Department of Medicine, National University Hospital 5 Lower Kent Ridge Road Singapore 119074. kay.ng@nathealthgroup.com
Cases Journal
|October 16, 2009
Summary
Septic shock from Streptococcus milleri group bacteremia is rare. This case highlights Streptococcus constellatus bacteremia after dental work, emphasizing the need to investigate for abscesses in such infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Medicine
Background:
- The Streptococcus milleri group, comprising Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus, is typically linked to abscess formation.
- While common in abscesses, invasive conditions like bacteremia leading to septic shock and mortality are infrequent.
Observation:
- A case report details a 27-year-old male experiencing severe illness following an incomplete tooth extraction.
- The patient presented with bacteremia caused by Streptococcus constellatus, a member of the Streptococcus milleri group.
Findings:
- The patient developed septic shock, a life-threatening complication, stemming from the Streptococcus constellatus bacteremia.
- This case underscores the potential for severe outcomes even when infections are typically associated with localized processes.
Implications:
- Bacteremia involving the Streptococcus milleri group, though uncommon, necessitates a thorough search for an occult abscess.
- Understanding the specific clinical manifestations of each Streptococcus milleri group species can guide the localization of the infection's source.
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