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Published on: November 30, 2016
Streptococcus mitis Abscesses Mimicking Liver Metastases
Mohamed Elnaggar1, Sumaiya Mahboob1, Bryce D Beutler1
1Internal Medicine, University of Nevada, Reno School of Medicine, Reno, USA.
Abstract:
Streptococcus mitis (S. mitis) is a commensal bacterial species that commonly colonizes the oropharynx and gastrointestinal tract. It is seldom reported as a human pathogen. However, immunocompromised individuals may be at risk of infection. We describe a 62-year-old male with prostate cancer who presented with multiple S. mitis abscesses masquerading as metastases. In addition, we discuss the differential diagnosis and treatment options for this rare opportunistic infection.
Insights
Streptococcus mitis, a common commensal bacterium, rarely causes human infections. This case highlights S. mitis forming abscesses in an immunocompromised patient with prostate cancer, mimicking metastatic disease.
Area of Science:
- Medical Microbiology
- Infectious Diseases
- Oncology
Background:
- Streptococcus mitis (S. mitis) is a normal inhabitant of the human oropharynx and gastrointestinal tract.
- While typically a commensal organism, S. mitis can act as an opportunistic pathogen, particularly in immunocompromised individuals.
- Disseminated S. mitis infections are rare, and abscess formation is an uncommon presentation.

