When common pathogens take uncommon paths: Streptococcus in a pediatric pelvic abscess

Abstract

Abdominal abscesses are commonly associated with gastrointestinal perforations, appendicitis or post-traumatic intra-abdominal infections and pelvic abscesses are commonly seen in females due to genitourinary pathology. Streptococcus species, particularly those from the Streptococcus anginosus group (SAG), are known to be abscess-forming pathogens. We present a case of a 15 year-old male with a pelvic abscess, likely secondary to an occult bowel trauma or appendicular pathology, in which Streptococcus was identified as the causative organism