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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.
Abstract:
Opportunistic infections most often occur in immunocompromised patients, however, they can also occur in immunocompetent patients. While rare, bacterial infections such as those from Streptococcus constellatus (S. constellatus) can cause severe pyogenic infections and abscess formations. It is important to understand the risk factors, diagnostic workup, and management of patients with this rare but enduring bacterial infection. Although most of the literature reports the prevalence of S. constellatus in adults, occurrences should not be overlooked in the pediatric population. We present a case of an immunocompetent 19-year-old female who initially presented with refractory fevers and was found to have an intrahepatic abscess and bilateral tubo-ovarian abscesses. Management of this patient included percutaneous drainage of the hepatic abscess and antibiotic treatment for 28 days.
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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