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Streptococcus milleri and Recurrent Intra-Abdominal Abscesses: A Case Report and Literature Review

Tabitha M Gana1, Olugbenga Awolaran1, Sobia Akhtar1

  • 1Department of General Surgery, Doncaster and Bassetlaw NHS Trust, Armthorpe Road, Doncaster DN2 5LT, UK.

Case Reports in Surgery
|June 18, 2016
PubMed

Insights

Recurrent intra-abdominal abscesses after diverticular perforation can be caused by Streptococcus milleri (SM). Conservative management poses challenges, suggesting a need for more intensive drainage approaches for SM-related abscesses.

Area of Science:

  • Microbiology
  • Surgical Complications
  • Infectious Diseases

Background:

  • Diverticular perforation can lead to postoperative intra-abdominal abscesses.
  • Streptococcus milleri (SM) is a pyogenic organism frequently implicated in intra-abdominal infections.
  • Recurrence and prolonged hospitalization are common challenges in managing SM-related abscesses.

Purpose of the Study:

  • To report a case of recurrent intra-abdominal abscesses caused by Streptococcus milleri (SM) post-diverticular perforation.
  • To evaluate SM as a potent pyogenic organism in the postoperative setting.
  • To highlight challenges of conservative management and recommend intensive drainage strategies.

Main Methods:

  • Case report of recurrent intra-abdominal abscesses.
  • Isolation and identification of Streptococcus milleri (SM).
  • Review of literature on SM-related abscesses and management.

Main Results:

  • Streptococcus milleri (SM) was isolated from recurrent intra-abdominal abscesses.
  • Conservative management led to recurrence and prolonged hospital stay.
  • The case highlights difficulties associated with conventional treatment approaches.

Conclusions:

  • Streptococcus milleri (SM) is a significant pathogen in postoperative intra-abdominal abscesses.
  • Conservative management of SM-related abscesses may be insufficient, leading to recurrence.
  • A more intensive approach to abscess drainage is recommended for SM-related infections, with further research needed.

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