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Pyogenic liver abscess caused by Streptococcus milleri
Lancet (London, England)
|March 22, 1975
Abstract:
Three clinically typical cases of multiple pyogenic liver abscesses are presented. In all three cases Streptococus milleri was isolated from the pus and in two cases it was isolated from blood cultures also. The patients were successfully treated by surgical drainage and antibiotics.
Insights
Streptococcus milleri commonly causes pyogenic liver abscesses. Successful treatment involves surgical drainage and antibiotics for these serious liver infections.
Area of Science:
- Medicine
- Infectious Diseases
- Hepatology
Background:
- Pyogenic liver abscesses are uncommon but serious infections.
- Multiple abscesses indicate a more complex clinical presentation.
Purpose of the Study:
- To present three cases of multiple pyogenic liver abscesses.
- To highlight the causative pathogen and treatment outcomes.
Main Methods:
- Case series presentation.
- Microbiological analysis of pus and blood cultures.
- Clinical management including surgical drainage and antibiotic therapy.
Main Results:
- Streptococcus milleri was identified as the causative agent in all three cases.
- S. milleri was also detected in blood cultures in two patients.
- All patients achieved successful recovery following treatment.
Conclusions:
- Streptococcus milleri is a significant pathogen in pyogenic liver abscesses.
- Prompt diagnosis and combined treatment of surgical drainage and antibiotics are effective.