Laparoscopic Appendectomy Turned Hepatotomy Revealing Rare Streptococcus Species: A Case Report

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Author Info

Kyra Hunsberger Burke De Lange

Corresponding Author

Kyra Hunsberger
The University of Arizona, College of Medicine - Phoenix, Phoenix, Arizona, United States of America

A B S T R A C T

While appendicitis is a common surgical emergency, progression to hepatic abscess due to rare microbial species is an unusual complication. We present the case of a 55 year-old male with past medical history of hypothyroidism presenting with one week of fever, cough, rigors, dyspnea, and generalized abdominal pain. He was diagnosed with viral gastroenteritis at urgent care but presented to the emergency room a week later where subsequent CT scan revealed appendiceal inflammation and hepatic abscess. He underwent laparoscopic appendectomy and hepatotomy, revealing perforated appendicitis, appendiceal abscess, localized peritonitis, and a hepatic abscess. Microbiology identified viridans streptococcus, citrobacter koseri, streptococcus intermedius, and streptococcus gordonii. He was treated with broad-spectrum antibiotics and additional percutaneous drainage. He was discharge on a 30-day course of oral antibiotics. This case highlights an unusual complication of appendicitis leading to hepatic abscess with rare bacterial isolates. Surgical intervention and targeted antimicrobial therapy were key in managing this patient.

Article Info

Article Type

Case Report

Publication history

Received: Wed 02, Apr 2025
Accepted: Thu 08, May 2025
Published: Thu 22, May 2025

Copyright

© 2023 Kyra Hunsberger. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.AJSCR.2025.01.02