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Multiple hepatic abscesses caused by Streptococcus milleri in association with an intrauterine device
M S Gelfand1, T Hodgkiss, B P Simmons
1Department of Medicine, Methodist Hospital of Memphis, Tennessee.
Reviews of Infectious Diseases
|November 1, 1989
Abstract:
We report a case of Streptococcus milleri bacteremia and multiple hepatic abscesses secondary to an intrauterine device and a tuboovarian abscess. Hepatic abscess as a complication of an intrauterine device has previously been reported only once, with Actinomyces israelii as the causative agent. Our patient's hepatic abscesses were cured with medical therapy.
Insights
Streptococcus milleri caused bacteremia and liver abscesses linked to an intrauterine device. Medical treatment successfully resolved the patient's hepatic abscesses, highlighting a rare complication.
Area of Science:
- Infectious Diseases
- Hepatology
- Gynecology
Background:
- Intrauterine devices (IUDs) are common contraceptives.
- Tuboovarian abscesses are serious pelvic infections.
- Hepatic abscesses are collections of pus in the liver.
Observation:
- A patient presented with Streptococcus milleri bacteremia.
- Multiple hepatic abscesses were identified.
- The condition was secondary to an intrauterine device and a tuboovarian abscess.
Findings:
- This is the second reported case of hepatic abscess secondary to an intrauterine device.
- Streptococcus milleri was the causative agent.
- Hepatic abscesses were successfully treated with medical therapy.
Implications:
- This case expands the known spectrum of intrauterine device complications.
- It underscores the importance of considering IUDs in the etiology of hepatic abscesses, even with unusual pathogens.
- Medical management can be effective for these rare hepatic abscesses.
Keywords:
AmericasAntibiotics--administraction and dosageBiologyCase StudiesContraceptionContraceptive Methods--complicationsDeveloped CountriesDiseasesDrugsExaminations And DiagnosesFamily PlanningHepatic EffectsInfectionsIud--complicationsLaboratory Examinations And DiagnosesNorth AmericaNorthern AmericaPhysiologyResearch MethodologyStudiesTennesseeTreatmentUnited States