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

Abstract

Introduction.Streptococcus constellatuscollectively withStreptococcus anginosusandStreptococcus intermediusconstitute theStreptococcus anginosus(formerlyStreptococcus 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 withStreptococcus constellatusbacteremia 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.