Cargando…
Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage
Group B streptococcus infections (GBSI) are commonly associated with neonates and pregnant women, but may also affect nonpregnant adults. Among its spectrum of manifestations, perinephric abscess (PA) is exceedingly rare. Comorbid conditions such as diabetes mellitus (DM) and immunosuppression incre...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5906762/ https://www.ncbi.nlm.nih.gov/pubmed/29686793 http://dx.doi.org/10.1080/20009666.2018.1433431 |
_version_ | 1783315441086627840 |
---|---|
author | Peña-Garcia, J. Isaac Shaikh, Sana Lacasse, Alexandre |
author_facet | Peña-Garcia, J. Isaac Shaikh, Sana Lacasse, Alexandre |
author_sort | Peña-Garcia, J. Isaac |
collection | PubMed |
description | Group B streptococcus infections (GBSI) are commonly associated with neonates and pregnant women, but may also affect nonpregnant adults. Among its spectrum of manifestations, perinephric abscess (PA) is exceedingly rare. Comorbid conditions such as diabetes mellitus (DM) and immunosuppression increase the risk of GBSI. We describe a 61-year-old Vietnamese man with compensated alcoholic cirrhosis, who presented with acute encephalopathy following subacute, progressive abdominal pain. He was afebrile and hemodynamically stable. Laboratory data were remarkable for leukocytosis, thrombocytopenia, azotemia, and pyuria. He was found to have two right-sided PA measuring 15 × 10 × 11 cm and 4.6 × 2.7 × 7.8 cm, requiring interval placement of multiple percutaneous drains. Culture from abscesses revealed beta-hemolytic Group B streptococcus (GBS). His course was complicated by contiguous spread to abdominal wall and paraspinal musculature, as well as a new diagnosis of type 2 DM. Along with drainage, a prolonged course of intravenous antimicrobial treatment led to abscess resolution. Given the rising number of unusual clinical presentations of GBSI, this bacteria should be considered as a part of the microbiological differential diagnosis of PA, especially in conditions leading to immunosuppression. |
format | Online Article Text |
id | pubmed-5906762 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-59067622018-04-23 Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage Peña-Garcia, J. Isaac Shaikh, Sana Lacasse, Alexandre J Community Hosp Intern Med Perspect Case Report Group B streptococcus infections (GBSI) are commonly associated with neonates and pregnant women, but may also affect nonpregnant adults. Among its spectrum of manifestations, perinephric abscess (PA) is exceedingly rare. Comorbid conditions such as diabetes mellitus (DM) and immunosuppression increase the risk of GBSI. We describe a 61-year-old Vietnamese man with compensated alcoholic cirrhosis, who presented with acute encephalopathy following subacute, progressive abdominal pain. He was afebrile and hemodynamically stable. Laboratory data were remarkable for leukocytosis, thrombocytopenia, azotemia, and pyuria. He was found to have two right-sided PA measuring 15 × 10 × 11 cm and 4.6 × 2.7 × 7.8 cm, requiring interval placement of multiple percutaneous drains. Culture from abscesses revealed beta-hemolytic Group B streptococcus (GBS). His course was complicated by contiguous spread to abdominal wall and paraspinal musculature, as well as a new diagnosis of type 2 DM. Along with drainage, a prolonged course of intravenous antimicrobial treatment led to abscess resolution. Given the rising number of unusual clinical presentations of GBSI, this bacteria should be considered as a part of the microbiological differential diagnosis of PA, especially in conditions leading to immunosuppression. Taylor & Francis 2018-04-17 /pmc/articles/PMC5906762/ /pubmed/29686793 http://dx.doi.org/10.1080/20009666.2018.1433431 Text en © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Peña-Garcia, J. Isaac Shaikh, Sana Lacasse, Alexandre Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage |
title | Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage |
title_full | Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage |
title_fullStr | Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage |
title_full_unstemmed | Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage |
title_short | Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage |
title_sort | invasive group b streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5906762/ https://www.ncbi.nlm.nih.gov/pubmed/29686793 http://dx.doi.org/10.1080/20009666.2018.1433431 |
work_keys_str_mv | AT penagarciajisaac invasivegroupbstreptococcusmultiloculatedperinephricabscessestreatedwithpercutaneousdrainage AT shaikhsana invasivegroupbstreptococcusmultiloculatedperinephricabscessestreatedwithpercutaneousdrainage AT lacassealexandre invasivegroupbstreptococcusmultiloculatedperinephricabscessestreatedwithpercutaneousdrainage |