Acute Acalculous Cholecystitis with Bacteremia Caused by Streptococcus anginosus Following Dental Procedure in a Previously Healthy Adolescent

Hyun O Kim; Sook Kyung Yum; Seung Beom Han; Hyo Jin Kwon; Jin Han Kang

doi:10.14776/kjpid.2012.19.3.157

Journal List > Korean J Pediatr Infect Dis > v.19(3) > 1096064

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Kim, Yum, Han, Kwon, and Kang: Acute Acalculous Cholecystitis with Bacteremia Caused by Streptococcus anginosus Following Dental Procedure in a Previously Healthy Adolescent

Case Report

Korean Journal of Pediatric Infectious Diseases

Korean Journal of Pediatric Infectious Diseases 2012; 19(3): 157-161.

Published online: 31 December 2012

DOI: https://doi.org/10.14776/kjpid.2012.19.3.157

Acute Acalculous Cholecystitis with Bacteremia Caused by Streptococcus anginosus Following Dental Procedure in a Previously Healthy Adolescent

Hyun O Kim, M.D., Sook Kyung Yum, M.D., Seung Beom Han, M.D., Hyo Jin Kwon, M.D.^*, Jin Han Kang, M.D.

Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.

^*Department of Pediatrics, College of Medicine, Korea University, Seoul, Korea.

Correspondence: Jin Han Kang, M.D. Department of Pediatrics, Seoul St. Mary's Hospital, Seoul, Korea. Tel: +82-2-2258-6183, Fax: +82-2-537-4544, kjhan@catholic.ac.kr

Received 14 September 2012 Revised 22 October 2012 Accepted 22 October 2012

Abstract

Streptococcus anginosus is a member of Streptococcus milleri group, and is found in the oral mucosa, respiratory tract, and gastrointestinal tract as normal flora. It can develop into a disease in patients with deteriorating clinical condition or with clinical risk factors. A previously healthy 15-year-old boy was admitted due to fever, abdominal discomfort and vomiting which lasted for 7 days. He had a history of dental procedure 1 day before the development of fever. He was diagnosed with acute acalculous cholecystitis based on the clinical, laboratory, and imaging finding, and S. anginosus was isolated from the blood culture. The patient was successfully treated with antibiotic therapy.

Keywords: Streptococcus anginosus, Cholecystitis, Bacteremia

Figures and Tables

Fig. 1

Ultrasonography of the abdomen demonstrates diffuse edematous wall thickening of gallbladder.

Fig. 2

Computed tomography of the abdomen. (A) Edematous gallbladder wall thickening with pericholecystic edema on admission. (B) Regression of the gallbladder lesion 1 month later.

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