Journal of Pediatric Infectious Diseases, Table of Contents J Pediatr Infect Dis 2009; 04(04): 409-412DOI: 10.3233/JPI-2009-0191 Case Report Georg Thieme Verlag KG Stuttgart – New York Liver abscess and respiratory disease caused by anginosus group streptococci Alice C.B. Setti a Department of Endocrinology, Alder Hey Children’s Hospital, Liverpool, UK , Philip T. Mannion b Department of Pathology, Glan Clwyd Hospital, Rhyl, Denbighshire, UK , Peter R. Stutchfield c Department of Pediatrics, Glan Clwyd Hospital, Rhyl, Denbighshire, UK › Author Affiliations Subject Editor: Recommend Article Abstract PDF Download Buy Article Abstract Anginosus group streptococci (previously known as Streptococcus milleri group) comprise three subspecies known to cause endogenous pyogenic infections. The majority of cases reported are in adults. We report a liver abscess occurring in a 3-year-old child without known preceding factors. He presented with clinical signs and X-ray findings compatible with a lower respiratory tract infection and was treated with oral amoxicillin. A blood culture grew Streptococcus constellatus and an abdominal ultra sound scan revealed a liver abscess confirmed by computerized tomography scan. Conservative management with a prolonged course of antibiotics led to complete resolution. Anginosus group streptococci can cause liver abscesses in healthy children and the presence of bacteremia due to this group of organisms should prompt investigation for occult abscesses. Keywords Keywords Streptococcus milleri - Streptococcus anginosus - Streptococcus constellatus - liver abscess - children PDF (378 kb)
