Cargando…

Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior Vena Cava

Introduction. Streptococcus constellatus collectively with Streptococcus anginosus and Streptococcus intermedius constitute the Streptococcus anginosus (formerly Streptococcus milleri) group. Though they are commonly associated with abscesses, bacteremia with subsequent septic thrombophlebitis is ex...

Descripción completa

Detalles Bibliográficos
Autores principales: Haidar, Abdallah, Haddad, Amy, Naqvi, Amir, Onyesoh, Ngozi U., Malik, Rushdah, Williams, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480241/
https://www.ncbi.nlm.nih.gov/pubmed/26171262
http://dx.doi.org/10.1155/2015/495898
_version_ 1782378124500008960
author Haidar, Abdallah
Haddad, Amy
Naqvi, Amir
Onyesoh, Ngozi U.
Malik, Rushdah
Williams, Michael
author_facet Haidar, Abdallah
Haddad, Amy
Naqvi, Amir
Onyesoh, Ngozi U.
Malik, Rushdah
Williams, Michael
author_sort Haidar, Abdallah
collection PubMed
description Introduction. Streptococcus constellatus collectively with Streptococcus anginosus and Streptococcus intermedius constitute the Streptococcus anginosus (formerly Streptococcus milleri) group. Though they are commonly associated with abscesses, bacteremia with subsequent septic thrombophlebitis is extremely rare, and resulting mortality is infrequent. Case Presentation. We report a case of a previously healthy 60-year-old African American female who presented with Streptococcus constellatus bacteremia associated with septic thrombophlebitis to the right ovarian vein extending into the inferior vena cava. She was urgently treated with antibiotics and anticoagulation. Conclusion. Septic thrombophlebitis has a clinical presentation that is often misleading. Therefore, a high clinical index of suspicion and the use of appropriate imaging modalities (computed tomography) are essential in recognizing and confirming this diagnosis. Prompt treatment is warranted. Surgical thrombectomies have been successfully replaced by a combination of antibiotics and anticoagulation therapy.
format Online
Article
Text
id pubmed-4480241
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-44802412015-07-13 Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior Vena Cava Haidar, Abdallah Haddad, Amy Naqvi, Amir Onyesoh, Ngozi U. Malik, Rushdah Williams, Michael Case Rep Infect Dis Case Report Introduction. Streptococcus constellatus collectively with Streptococcus anginosus and Streptococcus intermedius constitute the Streptococcus anginosus (formerly Streptococcus milleri) group. Though they are commonly associated with abscesses, bacteremia with subsequent septic thrombophlebitis is extremely rare, and resulting mortality is infrequent. Case Presentation. We report a case of a previously healthy 60-year-old African American female who presented with Streptococcus constellatus bacteremia associated with septic thrombophlebitis to the right ovarian vein extending into the inferior vena cava. She was urgently treated with antibiotics and anticoagulation. Conclusion. Septic thrombophlebitis has a clinical presentation that is often misleading. Therefore, a high clinical index of suspicion and the use of appropriate imaging modalities (computed tomography) are essential in recognizing and confirming this diagnosis. Prompt treatment is warranted. Surgical thrombectomies have been successfully replaced by a combination of antibiotics and anticoagulation therapy. Hindawi Publishing Corporation 2015 2015-06-16 /pmc/articles/PMC4480241/ /pubmed/26171262 http://dx.doi.org/10.1155/2015/495898 Text en Copyright © 2015 Abdallah Haidar et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Haidar, Abdallah
Haddad, Amy
Naqvi, Amir
Onyesoh, Ngozi U.
Malik, Rushdah
Williams, Michael
Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior Vena Cava
title Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior Vena Cava
title_full Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior Vena Cava
title_fullStr Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior Vena Cava
title_full_unstemmed Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior Vena Cava
title_short Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior Vena Cava
title_sort streptococcus constellatus causing septic thrombophlebitis of the right ovarian vein with extension into the inferior vena cava
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480241/
https://www.ncbi.nlm.nih.gov/pubmed/26171262
http://dx.doi.org/10.1155/2015/495898
work_keys_str_mv AT haidarabdallah streptococcusconstellatuscausingsepticthrombophlebitisoftherightovarianveinwithextensionintotheinferiorvenacava
AT haddadamy streptococcusconstellatuscausingsepticthrombophlebitisoftherightovarianveinwithextensionintotheinferiorvenacava
AT naqviamir streptococcusconstellatuscausingsepticthrombophlebitisoftherightovarianveinwithextensionintotheinferiorvenacava
AT onyesohngoziu streptococcusconstellatuscausingsepticthrombophlebitisoftherightovarianveinwithextensionintotheinferiorvenacava
AT malikrushdah streptococcusconstellatuscausingsepticthrombophlebitisoftherightovarianveinwithextensionintotheinferiorvenacava
AT williamsmichael streptococcusconstellatuscausingsepticthrombophlebitisoftherightovarianveinwithextensionintotheinferiorvenacava