Case report: brain and liver abscesses caused by oral infection with Streptococcus intermedius

Wagner, Kai Wolfgang; Schön, Ralf; Schumacher, Martin; Schmelzeisen, Rainer; Schulze, Dirk

doi:10.1016/j.tripleo.2006.02.010

Cited by 53 publications

(44 citation statements)

References 8 publications

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“…It's been reported by several studies that a bacteremia which may develop following inadequate oral hygiene, such as in this situation, may cause hepatic abscesses. 7,8 Viridans streptococci are considered to have low virulence, since they do not release exotoxin or endotoxin. The hydrolytic enzymes they release, such as hyaluronidase Most pyogenic hepatic abscesses are associated with biliary or intestinal systems.…”

Section: Discussionmentioning

confidence: 99%

Liver abscess associated with an oral flora bacterium Streptococcus anginosus

Yılmaz

Yılmaz²,

Karadağ³

et al. 2012

JMID

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Viridans group Streptococcus, a bacterium of the oral flora has a low-virulence and rarely causes liver abscess. A 40-yearold male patient was admitted to the hospital complaining of high fever and malaise. A physical examination revealed poor oral hygiene; there were caries on many teeth, and he had hepatomegaly. A hepatic abscess was identified in his abdominal tomography. Streptococcus anginosus was isolated from the drainage material, and the bile ducts were normal in his MRI cholangiography. An immunocompetent case of liver abscess caused by Streptococcus anginosus originated most probably from oral flora is presented here. J Microbiol Infect Dis 2012; 2(1): [33][34][35]

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Section: Discussionmentioning

confidence: 99%

Liver abscess associated with an oral flora bacterium Streptococcus anginosus

Yılmaz

Yılmaz²,

Karadağ³

et al. 2012

JMID

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“…Among these, we can list generalized diseases, such as rheumatoid arthritis (Zheng et al 2015), cardiovascular disease (Ordovas and Mooser 2006), and pulmonary diseases (Scannapieco and Genco 1999), as well as brain and liver abscesses (Wagner et al 2006). Other such illnesses include gastrointestinal cancer (Meurman and Grönroos 2010), breast cancer (Laidi et al 2016), cirrhosis (Bajaj et al 2015), and diabetes (Maruyama et al 2007;Deshpande et al 2010;Farag and Gaballa 2011).…”

Section: The Huat Microbiota and General Disordersmentioning

confidence: 99%

The oral cavity microbiota: between health, oral disease, and cancers of the aerodigestive tract

et al. 2017

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Many studies show that the human microbiome plays a critical role in the chronic pathologies of obesity, inflammatory bowel diseases, and diabetes. More recently, the interaction between cancer and the microbiome has been highlighted. Most studies have focused on the gut microbiota because it represents the most extensive bacterial community, and the body of evidence correlating it with gut syndromes is increasing. However, in the strict sense, the gastrointestinal (GI) tract begins in the oral cavity, and special attention should be paid to the specific flora of this cavity. This study reviewed the current knowledge about the various microbial ecosystems of the upper part of the GI tract and discussed their potential link to carcinogenesis. The overall composition of the microbial communities, as well as the presence or absence of "key species", in relation to carcinogenesis is addressed. Alterations in the oral microbiota can potentially be used to predict the risk of cancer. Molecular advances and the further monitoring of the microbiota will increase our understanding of the role of the microbiota in carcinogenesis and open new perspectives for future therapeutic and prophylactic modalities.Key words: upper aerodigestive, microbiome, oral cavity, carcinogenesis.Résumé : Plusieurs études montrent que le microbiome humain joue un rôle essentiel dans les pathologies chroniques que sont l'obésité, les maladies inflammatoires de l'intestin et le diabète. Plus récemment, l'interaction entre le cancer et le microbiome a été soulignée. La plupart des études se sont concentrées sur le microbiote intestinal car il représente la communauté bactérienne la plus étendue, et l'ensemble des preuves le corrélant avec les syndromes de l'intestin est en croissance. Cependant, au sens strict, le tractus gastro-intestinal (GI) commence dans la cavité orale et une attention spéciale devrait être portée à la flore spécifique de cette cavité. Cette étude fait la synthèse des connaissances actuelles relatives à divers écosystèmes microbiens de la partie supérieure du tractus GI et discute de leur lien potentiel à la carcinogenèse. La composition globale des communautés microbiennes, de même que la présence ou l'absence « d'espèces clés » relativement à la carcinogenèse sont soulevées. Des modifications du microbiote oral peuvent potentiellement être utilisées pour prédire les risques de cancer. Les percées moléculaires et la surveillance accrue du microbiote accroitront notre compréhension du rôle du microbiote dans la carcinogenèse et ouvriront de nouvelles perspectives en vue de modalités thérapeutiques et prophylactiques futures. [Traduit par la Rédaction]

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“…Other complications, such as brain and liver pyogenic abscess, have also been related to oral infections [8][9][10][11]. Although approximately 50% of pyogenic liver abscess (PLA) cases are considered as cryptogenic, PLA formation is generally attributed to the transmission of infection via three major routes: biliary tract, portal vein, and hepatic artery [9].…”

Section: Review Systemic Complication From Oral Bacterial Infectionmentioning

confidence: 99%

“…The attention to oral complications in liver transplant candidates is justified by several reasons: cirrhotic patients generally use multi-drug therapy which can reduce salivary flow and contribute to periodontal disease, caries, candidiasis and other oral lesions [48]; the main cause of liver disease in Brazil and in many part of the world is cirrhosis due to Hepatitic C Virus (HCV) infection followed by Alcoholic liver disease (ALD) which are associated with reduced salivary flow and untreated dental conditions or personal behaviors that are risk factors for dental diseases [4,26,27,49]; oral infection may decompensate cirrhosis and may contribute to the development of PH complications such as hepatic encephalopathy and hepatorenal syndrome; if preventive actions for oral health are not effective, the treatment of oral foci generally requires hospitalization and transoperative blood requirements [4,25]; studies has demonstrated the relationship between oral health and systemic health [4,[6][7][8][9][10][11][12][13] and the economic impact of oral complications is too high in cirrhotic patients [4,47].…”

Section: Oral Diagnosis and Treatment Protocol In Chronic Liver Diseasementioning

confidence: 99%

Oral health protocol for liver transplant patients

Lins¹,

Bastos²

2014

Transplant Technol

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Chronic liver disease and cirrhosis were the ninth leading cause of death in Brazil in 2011. Infectious complications are major factors for morbidity and mortality in liver transplant recipients. Oral infection is a cause of systemic infection for both liver transplant candidates and recipients. Liver transplant patients are at high risk of oral infection and preventive measures are mandatory. Oral treatment is feasible to the majority of patients awaiting liver transplantation. However, protocols for oral lesions management in liver transplant patients are not established in literature yet. The aim of the present study is to describe an oral health protocol for liver transplant patients based in our 12 years of experience in diagnosing and treating oral disease in the Liver Transplantation Clinic, Federal University of Bahia, Brazil. This protocol was developed by a multidisciplinary team of transplant surgeons, hepatologists, transplant nurses and dentists. All patients are evaluated by the hepatology team that assess liver disease severity and refer them to oral care. The oral assessment is carefully carried out. Additional complementary examinations are necessary to conclude diagnosis and proceed to an individual treatment plan. When oral surgery is necessary, coagulation factors, liver disease severity and the extent of surgical procedure are evaluated for each patient.

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Case report: brain and liver abscesses caused by oral infection with Streptococcus intermedius

Cited by 53 publications

References 8 publications

Liver abscess associated with an oral flora bacterium Streptococcus anginosus

Liver abscess associated with an oral flora bacterium Streptococcus anginosus

The oral cavity microbiota: between health, oral disease, and cancers of the aerodigestive tract

Oral health protocol for liver transplant patients

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