Korean J Pediatr Infect Dis.  2012 Dec;19(3):157-161.

Acute Acalculous Cholecystitis with Bacteremia Caused by Streptococcus anginosus Following Dental Procedure in a Previously Healthy Adolescent

• Kim HO
• Yum SK
• Han SB
• Kwon HJ
• Kang JH

Abstract

Streptococcus anginosus is a member of Streptococcus milleri group, and is found in the oral mucosa, respiratory tract, and gastrointestinal tract as normal flora. It can develop into a disease in patients with deteriorating clinical condition or with clinical risk factors. A previously healthy 15-year-old boy was admitted due to fever, abdominal discomfort and vomiting which lasted for 7 days. He had a history of dental procedure 1 day before the development of fever. He was diagnosed with acute acalculous cholecystitis based on the clinical, laboratory, and imaging finding, and S. anginosus was isolated from the blood culture. The patient was successfully treated with antibiotic therapy.

Keyword

Streptococcus anginosus; Cholecystitis; Bacteremia

MeSH Terms

Acalculous Cholecystitis
Adolescent
Bacteremia
Cholecystitis
Fever
Gastrointestinal Tract
Humans
Mouth Mucosa
Respiratory System
Risk Factors
Streptococcus
Streptococcus anginosus
Streptococcus milleri Group
Vomiting

Figure

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  Fig. 1 Ultrasonography of the abdomen demonstrates diffuse edematous wall thickening of gallbladder.

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  Fig. 2 Computed tomography of the abdomen. (A) Edematous gallbladder wall thickening with pericholecystic edema on admission. (B) Regression of the gallbladder lesion 1 month later.

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