title: Intra-abdominal abscesses byLactococcus lactis ssp cremorisin an immunocompetent adult with severe periodontitis and pernicious anemia.
abstract: We report the case of an immunocompetent man who presented with fever and abdominal pain and was found to have a hepatic abscess and a peri-renal abscess with a computerized tomography scan. The hepatic abscess was drained percutaneously and cultures revealed the presence ofLactococcus lactisthat was sensitive to penicillin. The patient was successfully treated with ceftriaxone and metronidazole with resolution of the abscesses. Further work-up revealed atrophic gastritis, vitamin B12 deficiency, periodontitis and gingivitis, suggesting a possible site of entry for the development of the abscesses.
authors.affiliation: Department of Internal Medicine, University of Crete, PC 71110, Greece.
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Fragkiadakis
authors.affiliation: Department of Internal Medicine, University of Crete, PC 71110, Greece.
authors.forename: Petros
authors.initials: P
authors.lastname: Ioannou
authors.affiliation: Department of Internal Medicine, University of Crete, PC 71110, Greece.
authors.forename: Emmanouil
authors.initials: E
authors.lastname: Barbounakis
authors.affiliation: Department of Internal Medicine, University of Crete, PC 71110, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Samonis
keywords: Intra-abdominal abscess; Lactococcus lactis; Pernicious anemia