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Case Reports
. 2024 May 9:2024:5593403.
doi: 10.1155/2024/5593403. eCollection 2024.

Brain Abscess due to Streptococcus intermedius after Spontaneous Esophageal Perforation in an Adolescent

Sandra Mabel Camacho-Gomez  1 , Javier Monagas  2 , Robert Adam Noel  2 , Luis Castagnini  3
Affiliations
Case Reports

Brain Abscess due to Streptococcus intermedius after Spontaneous Esophageal Perforation in an Adolescent

Sandra Mabel Camacho-Gomez et al. Case Rep Pediatr. .

Abstract

Streptococcus intermedius is an inhabitant of the oral cavity and gastrointestinal tract, known to cause deep-seated abscesses. Thereby, we present a previously healthy adolescent with esophageal perforation (EP) and secondary mediastinal and brain abscesses due to Streptococcus intermedius. EP is a potentially life-threatening condition that requires a prompt diagnosis.

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Conflict of interest statement

Drs. Camacho-Gomez, Monagas, and Noel have disclosed no financial relationships relevant to this article. Dr. Castagnini works for Merck Research Laboratories; he has disclosed no financial relationships relevant to this article.

Figures

Figure 1
Figure 1
Brain magnetic resonance imaging demonstrating ring-enhancing lesions throughout the brain parenchyma and cerebellum consistent with abscesses on admission.
Figure 2
Figure 2
Chest computed tomography revealing a mediastinal abscess.
Figure 3
Figure 3
Esophagram showing contrast leakage due to esophageal perforation on the initial presentation. Arrows indicate the fistulous tract location, and the blue circle shows the mediastinal abscess area.
Figure 4
Figure 4
Endoclip placed above the fistulous tract to create a hood via esophagoscopy and protect the abscess cavity from further contamination with feeding, on week 6 of hospitalization.
See this image and copyright information in PMC

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