{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:52:41Z","timestamp":1762005161810,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,1,29]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>\n                  <jats:italic>Streptococcus intermedius<\/jats:italic> is a Gram-positive cocci, normally found in the oral cavity and gastrointestinal tract. It has been associated with deep-seated purulent abscesses commonly in the brain or liver in immunocompromised patients. Here, we discuss the case of a 21-year-old immunocompetent patient that presented with septic shock in the setting of multiple pyogenic liver abscesses with positive blood cultures for <jats:italic>S. intermedius<\/jats:italic>. The patient had a dental cleaning 3 months prior to admission. The abscesses resolved with ultrasound guided drainage and antibiotic therapy.<\/jats:p>","DOI":"10.1136\/bcr-2019-233097","type":"journal-article","created":{"date-parts":[[2020,2,28]],"date-time":"2020-02-28T14:25:22Z","timestamp":1582899922000},"page":"e233097","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":7,"title":["Multiple liver abscesses caused by <i>S<\/i>\n                  <i>treptococcus intermedius<\/i> bacteremia in the setting of a routine dental cleaning"],"prefix":"10.1136","volume":"13","author":[{"given":"Angy","family":"Hanna","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, William Beaumont Hospital, Royal Oak, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaid","family":"Imam","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, William Beaumont Hospital, Royal Oak, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fadi","family":"Odish","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, William Beaumont Hospital, Royal Oak, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhavin","family":"Dalal","sequence":"additional","affiliation":[{"name":"Department of Pulmonary Critical Care and Sleep Medicine, William Beaumont Hospital, Royal Oak, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,2,28]]},"reference":[{"key":"2025082710374592000_13.2.e233097.1","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1186\/2047-783X-15-7-319","article-title":"Multiple liver abscesses with isolation of Streptococcus intermedius related to a pyogenic dental infection in an immuno-competent patient","volume":"15","author":"Neumayr","year":"2010","journal-title":"Eur J Med Res"},{"key":"2025082710374592000_13.2.e233097.2","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1128\/jcm.30.1.243-244.1992","article-title":"Streptococcus intermedius, streptococcus constellatus, and streptococcus anginosus (the streptococcus milleri group): association with different body sites and clinical infections","volume":"30","author":"Whiley","year":"1992","journal-title":"J Clin Microbiol"},{"key":"2025082710374592000_13.2.e233097.3","first-page":"1","article-title":"Streptococcus intermedius bacteremia and liver abscess following a routine dental cleaning","volume":"2014","author":"Livingston","year":"2014","journal-title":"Case Rep Infect Dis"},{"key":"2025082710374592000_13.2.e233097.4","first-page":"393","article-title":"[Bacteremias due to the Streptococcus milleri group. An analysis of 18 episodes]","volume":"197","author":"S\u00e1nchez-Porto","year":"1997","journal-title":"Rev Clin Esp"},{"key":"2025082710374592000_13.2.e233097.5","first-page":"195","article-title":"Splenic abscess and multiple brain abscesses caused by Streptococcus intermedius in a young healthy man","volume":"24","author":"Maliyil","year":"2011","journal-title":"Proc"},{"key":"2025082710374592000_13.2.e233097.6","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.jviscsurg.2015.01.013","article-title":"Hepatic abscess: diagnosis and management","volume":"152","author":"Lardi\u00e8re-Deguelte","year":"2015","journal-title":"J Visc Surg"},{"key":"2025082710374592000_13.2.e233097.7","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1001\/archotol.127.6.650","article-title":"Streptococcus milleri: an organism for head and neck infections and abscess","volume":"127","author":"Han","year":"2001","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"2025082710374592000_13.2.e233097.8","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2334-8-154","article-title":"Streptococcus intermedius causing infective endocarditis and abscesses: a report of three cases and review of the literature","volume":"8","author":"Tran","year":"2008","journal-title":"BMC Infect Dis"},{"key":"2025082710374592000_13.2.e233097.9","doi-asserted-by":"crossref","unstructured":"Reddy S , Singh K , Hughes S . Liver abscesses caused by Streptococcus intermedius in an immunocompromised patient. Cureus 2018;10.doi:10.7759\/cureus.2107","DOI":"10.7759\/cureus.2107"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-233097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:37:53Z","timestamp":1756316273000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-233097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,2,28]]},"published-print":{"date-parts":[[2020,2]]}},"alternative-id":["10.1136\/bcr-2019-233097"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-233097","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,2]]}}}