A 14-Year-Old Male With Abdominal Pain

Abstract

1. Recurrent low-grade fever, epigastric abdominal pain, a 10-pound weight loss, moderate abdominal tenderness concentrated in the epigastric region; leukocytosis with a marked left shift, positive Gram stain and bacterial culture for a catalase negative/Voges-Proskauer-positive organism that did not hydrolyze esculin or arginine or produce acid from inulin, sorbitol, or mannitol that was identified as belonging to the Streptococcus milleri group of bacterial organisms (Table 1). Patient 14-year-old male.