Chessa S, Belfiori E, Mandis G, Urru E, Manconi G, Scuteri A. Bacteremia from streptococcus constellatus revealing a gastrointestinal stromal tumor.
Gut Pathog 2024;
16:1. [PMID:
38178146 PMCID:
PMC10765689 DOI:
10.1186/s13099-023-00593-6]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 12/20/2023] [Indexed: 01/06/2024] Open
Abstract
BACKGROUND
Pyogenic Liver Abscesses (PLA) are the most common type of visceral abscess. They generally develop in a context of biliary disease or hematogenous seeding, but a complete diagnostic work-up is always required in order not to miss other important causes, including above all malignancies of the gastro-intestinal tract.
CASE PRESENTATION
Herein, we report a particular case of a 80 years-old immunocompetent woman hospitalized for sepsis. At the end of the diagnostic process, Streptococcus constellatus (Sc) was identified as the cause of sepsis, multiple PLA were found together with a previous unknown ileal malignancy. We speculated about a possible correlation among these three entities (i.e. sepsis from Sc, PLA and tumors).
CONCLUSIONS
Detection of Sc in blood should raise red flags in clinicians as aggressive clinical presentation are possible.
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