Streptococcus milleri liver abscess presenting as fulminant pneumonia.
A case of a young man who developed a Streptococcus milleri liver abscess secondary to an occult colonic foreign body, which presented as fulminant community acquired pneumonia, is reported. The isolation of Streptococcus milleri, a normal member of the gastrointestinal flora, from an abscess, blood or sputum should prompt a search for pathology, foreign bodies or silent perforation in the gastrointestinal tract.
Henderson
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Intensive Care Unit, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Wall
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D
D000328:Adult; D012809:Colon, Sigmoid / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005547:Foreign Bodies / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D011014:Pneumonia / Q000175:diagnosis*; D011859:Radiography; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000209:etiology