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...

Descripción completa

Detalles Bibliográficos
Autores principales: Peña-Garcia, J. Isaac, Shaikh, Sana, Lacasse, Alexandre
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