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Case Reports in Infectious Diseases
Volume 2015, Article ID 495898, 5 pages
http://dx.doi.org/10.1155/2015/495898
Case Report

Streptococcus constellatus Causing Septic Thrombophlebitis of the Right Ovarian Vein with Extension into the Inferior Vena Cava

1Department of Internal Medicine, Providence Hospital and Medical Center, 16001 W. Nile Mile Road, Southfield, MI 48075, USA
2Department of Infectious Disease, Providence Hospital and Medical Center, 16001 W. Nile Mile Road, Southfield, MI 48075, USA

Received 2 April 2015; Revised 30 May 2015; Accepted 2 June 2015

Academic Editor: Pere Domingo

Copyright © 2015 Abdallah Haidar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Streptococcus constellatus collectively with Streptococcus anginosus and Streptococcus intermedius constitute the Streptococcus anginosus (formerly Streptococcus milleri) group. Though they are commonly associated with abscesses, bacteremia with subsequent septic thrombophlebitis is extremely rare, and resulting mortality is infrequent. Case Presentation. We report a case of a previously healthy 60-year-old African American female who presented with Streptococcus constellatus bacteremia associated with septic thrombophlebitis to the right ovarian vein extending into the inferior vena cava. She was urgently treated with antibiotics and anticoagulation. Conclusion. Septic thrombophlebitis has a clinical presentation that is often misleading. Therefore, a high clinical index of suspicion and the use of appropriate imaging modalities (computed tomography) are essential in recognizing and confirming this diagnosis. Prompt treatment is warranted. Surgical thrombectomies have been successfully replaced by a combination of antibiotics and anticoagulation therapy.