[A case of multiple liver abscesses associated with Streptococcus salivarius in a patient with chronic periodontitis]

Nihon Shokakibyo Gakkai Zasshi. 2014 Aug;111(8):1602-8.
[Article in Japanese]

Abstract

Streptococcus salivarius is an oral commensal bacterium that rarely causes disease in humans. Here, we report a case of liver abscess associated with S. salivarius in a 41-year-old woman who presented with continuous abdominal discomfort, fatigue, and fever. She was diagnosed with multiple liver abscesses; she underwent percutaneous transhepatic abscess drainage. Thereafter, S. salivarius was isolated in all bacterial cultures of the drained abscesses, and it was sensitive to penicillins. She made a good recovery after treatment. In the absence of an infective source other than chronic periodontitis, the cause of liver abscesses was attributed to oral S. salivarius. S. salivarius is a normal oral commensal, and oral commensals must be considered if the infective origin of liver abscess cannot be determined.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Female
  • Humans
  • Liver Abscess / microbiology*
  • Periodontitis / complications
  • Periodontitis / microbiology*
  • Streptococcal Infections / complications
  • Streptococcus / isolation & purification*