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Parvimonas micra Bacteremia in the Setting of a Hepatic Abscess: A Case Report
Aneil S Walizada1, Sarah E Lyons2, Chulou Penales1
1Internal Medicine, Hospital Corporation of America (HCA) Healthcare Westside Regional Medical Center, Plantation, USA.
Abstract:
Parvimonas micra is a Gram-positive anaerobic coccus that typically colonizes the oral cavity and gastrointestinal tract in humans. Though P. micra is typically associated with periodontal abscesses, it can also be an unlikely cause of bacteremia. Here, we report a case of P. micra bacteremia in the setting of a hepatic abscess. Antibiotic treatment of the bacteremia was initiated, and the entry source of the infection was investigated using various imaging techniques in the inpatient setting. A hepatic abscess was suspected to be the origin of infection for the P. micra bacteremia. Successful antibiotic treatment was confirmed by negative repeat blood cultures and an improvement in the patient's symptoms and clinical picture.
Insights
Parvimonas micra, a common oral bacterium, can cause bloodstream infections. This case highlights a rare instance of P. micra bacteremia originating from a hepatic abscess, successfully treated with antibiotics.
Area of Science:
- Microbiology
- Infectious Diseases
- Hepatology
Background:
- Parvimonas micra is a Gram-positive anaerobic coccus that colonizes the human oral cavity and gastrointestinal tract.
- While typically associated with periodontal disease, P. micra can infrequently cause bacteremia.
- Hepatic abscesses are collections of pus within the liver, often caused by bacterial infections.
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