First Described Case of Group B Streptococcus Pelvic Abscess in a Patient with No Medical Comorbidities

Area of Science:

• Infectious Diseases
• Microbiology
• Radiology

Background:

• Group B Streptococcus (GBS) typically affects neonates, pregnant women, and immunocompromised adults.
• GBS is an opportunistic pathogen with a broad host range.
• Invasive GBS infections are less common in non-pregnant, otherwise healthy adults.

Purpose of the Study:

• To report a rare case of a large pelvic abscess caused by Group B Streptococcus in a non-pregnant patient without comorbidities.
• To highlight the importance of considering GBS in the differential diagnosis of abscesses in diverse patient populations.
• To emphasize the successful management of such infections.

Main Methods:

• Interventional radiology (IR) guided drainage of the pelvic abscess.
• Administration of appropriate antibiotic therapy.
• Microbiological analysis to identify the causative organism.

Main Results:

• Successful treatment of a large pelvic abscess caused by Group B Streptococcus.
• The patient, a non-pregnant adult without underlying medical conditions, recovered fully.
• Image-guided drainage and targeted antibiotics proved effective.

Conclusions:

• Group B Streptococcus can cause severe, invasive infections, such as large pelvic abscesses, in non-pregnant individuals without comorbidities.
• Empirical antibiotic coverage for GBS should be considered in patients presenting with abscesses, regardless of traditional risk factors.
• Interventional radiology plays a key role in the management of complex abscesses.