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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Greater Baltimore Medical Center
2018-03-01
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| Series: | Journal of Community Hospital Internal Medicine Perspectives |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20009666.2018.1433431 |
| _version_ | 1797968357106909184 |
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| author | J. Isaac Peña-Garcia Sana Shaikh Alexandre Lacasse |
| author_facet | J. Isaac Peña-Garcia Sana Shaikh Alexandre Lacasse |
| author_sort | J. Isaac Peña-Garcia |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-11T02:44:29Z |
| format | Article |
| id | doaj.art-7e974174bb0343d5b1cda01a354a9836 |
| institution | Directory Open Access Journal |
| issn | 2000-9666 |
| language | English |
| last_indexed | 2024-04-11T02:44:29Z |
| publishDate | 2018-03-01 |
| publisher | Greater Baltimore Medical Center |
| record_format | Article |
| series | Journal of Community Hospital Internal Medicine Perspectives |
| spelling | doaj.art-7e974174bb0343d5b1cda01a354a98362023-01-02T18:12:02ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662018-03-0182767910.1080/20009666.2018.14334311433431Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainageJ. Isaac Peña-Garcia0Sana Shaikh1Alexandre Lacasse2SSM St. Mary’s Hospital - St. LouisSSM St. Mary’s Hospital - St. LouisSSM St. Mary’s Hospital - St. LouisGroup 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.http://dx.doi.org/10.1080/20009666.2018.1433431Group B streptococcusstreptococcus agalactiaebeta-hemolytic streptococcusperinephric abscessretroperitoneal abscessintra-abdominal abscesspercutaneous drainage |
| spellingShingle | J. Isaac Peña-Garcia Sana Shaikh Alexandre Lacasse Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage Journal of Community Hospital Internal Medicine Perspectives Group B streptococcus streptococcus agalactiae beta-hemolytic streptococcus perinephric abscess retroperitoneal abscess intra-abdominal abscess 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 | Group B streptococcus streptococcus agalactiae beta-hemolytic streptococcus perinephric abscess retroperitoneal abscess intra-abdominal abscess percutaneous drainage |
| url | http://dx.doi.org/10.1080/20009666.2018.1433431 |
| work_keys_str_mv | AT jisaacpenagarcia invasivegroupbstreptococcusmultiloculatedperinephricabscessestreatedwithpercutaneousdrainage AT sanashaikh invasivegroupbstreptococcusmultiloculatedperinephricabscessestreatedwithpercutaneousdrainage AT alexandrelacasse invasivegroupbstreptococcusmultiloculatedperinephricabscessestreatedwithpercutaneousdrainage |