A Case Report on Group “G” B-Hemolytic Streptococcus, a New Important Causative Organism of Localised Intra-Abdominal Abscess | Chapter 11 | New Frontiers in Medicine and Medical Research Vol. 4

 The "G" group Streptococcus is a common commensal bacteria that can be found in the skin, throat, gut, appendix, and female genital system. According to our review of the literature, we present the first reported case of a localised intra-abdominal abscess caused by Group g streptoccus (GGS), also seen for the first time in our institution, which is a rare but important cause when the post-operative pyrexia/symptoms do not settle down with rising counts after the requisite surgical procedure-drainage and antibiotic regimens. Blood cultures were negative in our case, but pus culture-liquid subcultures grew large colony gramme positive cocci on the first postoperative day, which were later identified as Group G Streptococcus (GGS) with the sensitivity pattern on the third postoperative day identifying the organism as large-so a good microbiology department team is required, which in our case was instrumental in the mammalian mammalian mammalian mammalian mammalian mammalian This case is being reported because it is unusual. It is gaining relevance as an organism for creating deep-seated abscesses in the body, especially the abdomen, which are generally many or as peritonitis. It is especially observed in diabetics/malignancies/respiratory infections/immunosuppressed/chronic leg ulcers/pet dogs at home. Another important reason for immediate and urgent drainage of abscesses caused by GGS infections that has been mentioned in the literature is that it can lead to a very serious streptococcal toxic shock syndrome with a very fulminant and rapid downhill course with GGS bacteremia having a high 30-day mortality rate of up to 15%.

Author (S) Details

Shiv Chopra
Department of General and Gastrointestinal Surgery, Indraprastha Apollo Hospital Delhi-Mathura Road, Sarita Vihar, New Delhi-110076, India.

V. K. Aneja
Department of Internal Medicine, Indraprastha Apollo Hospital, Delhi-Mathura Road, Sarita Vihar, New Delhi-110076, India.

Raman Sardana
Department of Internal Medicine, Indraprastha Apollo Hospital, Delhi-Mathura Road, Sarita Vihar, New Delhi-110076, India.

Leena Mehndiratta
Department of Internal Medicine, Indraprastha Apollo Hospital, Delhi-Mathura Road, Sarita Vihar, New Delhi-110076, India.

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