Septic shock caused by the under-recognized bacterium Eggerthella lenta in a 61-year-old male with a periurethral abscess: a case report

• Main Authors: Giovanni Cordoba, Marisa Lee Kim, Shorabh Sharma, Julian Paniagua, Gianinna Folgarait, Judith Berger
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT)
• Series: Revista da Sociedade Brasileira de Medicina Tropical
• Subjects: Sepsis; Eggerthella lenta; Periurethral abscess
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100725&lng=en&tlng=en
• ISSN: 1678-9849

Abstract Eggerthella lenta is a gram-positive anaerobic bacillus that has been associated with life-threatening infections. Bacteremia is always clinically significant and is mostly but not always associated with gastrointestinal disease. We present a unique case of abrupt deterioration and rapid development of septic shock secondary to periurethral abscess caused by E. lenta infection. This case highlights the atypical clinical presentation, risk factors, uncommon source of infection, challenges in therapy, and outcome of this infrequent infection. There is still a gap in the understanding of E. lenta pathogenicity, and more literature is needed to establish clear management recommendations.