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Streptococcus anginosus endocarditis and multiple liver abscesses in a splenectomised patient
Talya Finn1, Ami Schattner2,3, Ina Dubin3
1Infectious Diseases Unit, Laniado Hospital, Sanz Medical Centre, Netanya, Israel.
Abstract:
An unusual case of infective endocarditis and concurrent multiple liver abscesses both caused by Streptococcus anginosus in a splenectomised patient is reported. The microorganism is a very rare cause of endocarditis and its presentation with multiple liver abscesses is highly unusual. It was initially misdiagnosed as Streptococcus sanguinis and issues relating to the different clinical presentations of S. anginosus including the rare cases of endocarditis, the role of the patient's splenectomy and problems that may contribute to its potential laboratory misidentifications are discussed.
Insights
This case report details a rare instance of infective endocarditis and liver abscesses caused by Streptococcus anginosus in a patient without a spleen. The study highlights diagnostic challenges and the unusual presentation of this microorganism.
Area of Science:
- Infectious Diseases
- Microbiology
- Hepatology
Background:
- Infective endocarditis and liver abscesses are serious conditions often caused by common bacteria.
- Streptococcus anginosus is a rare causative agent for infective endocarditis and typically presents with fewer, not multiple, liver abscesses.
- Splenectomized patients may have altered susceptibility to certain infections.
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