Liver and Bilateral Tubo-Ovarian Abscesses Caused by Streptococcus constellatus in an Immunocompetent Adolescent: A

Marien Govea1, Enrique Konstat-Korzenny2, Pablo Laufer3

  • 1Pediatrics, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.

Cureus
|October 1, 2024
PubMed

Insights

Streptococcus constellatus, a rare bacterial cause of pyogenic infections, can affect immunocompetent individuals. This case highlights a severe intrahepatic and tubo-ovarian abscess in a young woman, emphasizing the need for awareness and prompt management.

Area of Science:

  • Infectious Diseases
  • Microbiology

Background:

  • Opportunistic infections typically affect immunocompromised individuals.
  • Bacterial infections, including those caused by Streptococcus constellatus (S. constellatus), can lead to severe pyogenic infections and abscesses, even in immunocompetent patients.
  • While S. constellatus prevalence is often reported in adults, pediatric occurrences warrant consideration.

Observation:

  • A case of an immunocompetent 19-year-old female presenting with refractory fevers.
  • The patient was diagnosed with an intrahepatic abscess and bilateral tubo-ovarian abscesses.
  • S. constellatus was identified as the causative agent.

Findings:

  • The patient's intrahepatic abscess was managed with percutaneous drainage.
  • A 28-day course of antibiotic treatment was administered.
  • Successful management of severe pyogenic abscesses in an immunocompetent young adult.

Implications:

  • Highlights the potential for S. constellatus to cause severe infections in immunocompetent individuals, including the pediatric population.
  • Underscores the importance of considering rare bacterial pathogens in the differential diagnosis of complex abscesses.
  • Emphasizes the need for prompt diagnosis, appropriate imaging, and targeted antibiotic therapy and drainage for effective management.

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