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Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior

Abdallah Haidar1, Amy Haddad1, Amir Naqvi1

  • 1Department of Internal Medicine, Providence Hospital and Medical Center, 16001 W. Nile Mile Road, Southfield, MI 48075, USA.

Case Reports in Infectious Diseases
|July 15, 2015
PubMed

Insights

This case report details a rare instance of Streptococcus constellatus bacteremia leading to septic thrombophlebitis. Prompt antibiotic and anticoagulation therapy proved effective, highlighting the importance of early diagnosis for this uncommon condition.

Area of Science:

  • Infectious Diseases
  • Hematology
  • Medical Case Reports

Background:

  • Streptococcus constellatus is part of the Streptococcus anginosus group, typically linked to abscess formation.
  • Bacteremia with septic thrombophlebitis caused by this group is exceptionally rare.
  • Septic thrombophlebitis often presents with misleading clinical signs.

Purpose of the Study:

  • To report a rare case of Streptococcus constellatus bacteremia with septic thrombophlebitis.
  • To emphasize the diagnostic challenges and effective management strategies for this condition.

Main Methods:

  • A case presentation of a previously healthy 60-year-old female.
  • Utilized computed tomography (CT) for diagnosis.
  • Treatment involved urgent antibiotics and anticoagulation therapy.

Main Results:

  • The patient presented with Streptococcus constellatus bacteremia.
  • Septic thrombophlebitis of the right ovarian vein extending into the inferior vena cava was diagnosed.
  • Successful treatment was achieved with antibiotics and anticoagulation, avoiding surgery.

Conclusions:

  • Septic thrombophlebitis requires a high index of clinical suspicion for timely diagnosis.
  • Computed tomography is crucial for confirming the diagnosis.
  • Antibiotic and anticoagulation therapy is an effective alternative to surgical thrombectomy.

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