{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T03:23:19Z","timestamp":1768447399750,"version":"3.49.0"},"reference-count":17,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,11,2]]},"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:p>A 26-year-old man who was previously well presented to the emergency in septic shock. He had a preceding history of fever, right upper abdominal pain and jaundice. On examination, there was tenderness over the right hypochondrium and epigastrium, without features of generalised peritonitis. His blood tests were suggestive of sepsis with deranged liver function tests. CT scan of the abdomen showed multiples abscesses in various segments of the liver and a thrombus in the inferior venacava, without any other intraabdominal focus of infection. The abscess was aspirated under sonographic guidance, and the cultures grew <jats:italic>Streptococcus constellatus<\/jats:italic> species of <jats:italic>S. milleri<\/jats:italic> group (SMG). He received crystalline penicillin, based on culture sensitivity and underwent drainage of the abscess. There was a clinical improvement and he was subsequently discharged in a stable condition. On 3\u2009months follow-up, there was a complete resolution of the liver abscess and normalisation of the liver function tests.<\/jats:p>","DOI":"10.1136\/bcr-2019-229738","type":"journal-article","created":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T06:19:22Z","timestamp":1576736362000},"page":"e229738","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["<i>Streptococcus constellatus<\/i>: a rare causative agent of pyogenic liver abscess"],"prefix":"10.1136","volume":"12","author":[{"given":"Royson","family":"Dsouza","sequence":"first","affiliation":[{"name":"Division of Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beulah","family":"Roopavathana","sequence":"additional","affiliation":[{"name":"Division of Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suchita","family":"Chase","sequence":"additional","affiliation":[{"name":"Division of Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukriya","family":"Nayak","sequence":"additional","affiliation":[{"name":"Division of Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,12,18]]},"reference":[{"key":"2025082711562206000_12.12.e229738.1","first-page":"3","article-title":"Therapy of liver abscesses","volume":"30","author":"L\u00fcbbert","year":"2014","journal-title":"Viszeralmedizin"},{"key":"2025082711562206000_12.12.e229738.2","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1128\/jcm.28.7.1497-1501.1990","article-title":"Phenotypic differentiation of Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus strains within the \"Streptococcus milleri group\"","volume":"28","author":"Whiley","year":"1990","journal-title":"J Clin Microbiol"},{"key":"2025082711562206000_12.12.e229738.3","doi-asserted-by":"crossref","first-page":"117","DOI":"10.4236\/aid.2014.43018","article-title":"Clinical and pathological comparison of pyogenic and amoebic liver abscesses","volume":"04","author":"Bhatti","year":"2014","journal-title":"Advances in Infectious Diseases"},{"key":"2025082711562206000_12.12.e229738.4","first-page":"591","article-title":"Liver abscess due to Streptococcus constellatus in an immunocompetent adult: a less known entity","volume":"110","author":"Mohanty","year":"2018","journal-title":"J Natl Med Assoc"},{"key":"2025082711562206000_12.12.e229738.5","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/S0140-6736(75)91760-2","article-title":"Pyogenic liver abscess caused by Streptococcus milleri","volume":"305","author":"Bateman","year":"1975","journal-title":"Lancet"},{"key":"2025082711562206000_12.12.e229738.6","doi-asserted-by":"publisher","DOI":"10.1111\/omi.12056"},{"key":"2025082711562206000_12.12.e229738.7","unstructured":"Sayek I , Onat D . 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