Vol.95 No.8 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 95 No. 8 August 2002
A Case of Multiple Abscesses and Septicemia
Caused by the Streptococcus Milleri Group
Toshiya Yamamoto, Susumu Maruyama, Hiroshi Tenjin,
Norisuke Sugawa, Yasushi Daimon and Wakako Imada
(Kyoto Prefectural Yosanoumi Hospital)
A 65-year-old female complained of swelling in the temple area, general fatigue and discharge from the right ear.
CT and MRI found multiple abscesses in the brain, temporal muscle and intraorbital tissue, and acute otitis media, mastoiditis and acute sinusitis were also found.
All samples taken from blood, abscess in the temporal muscle, intraorbital abscess, discharge from the ear and discharge from the nose revealed that all of these infection were caused by S.
constellatus which belongs to Streptococcus milleri group, forming part of the resident flora of mouth.
The patient was cured with ABPC and drainage was effective.
The gram-staining method was useful for selecting effective antibiotics in the early phase of treatment.
Key words : multiple abscesses, septicemia, Streptococcus milleri group