Pediatr. praxi 2017; 18(4): 254-257 | DOI: 10.36290/ped.2017.050
An uncommon brain abscess caused by Streptococcus intermedius due to periodontal inflammation
- 1 Ústav molekulární a translační medicíny LF UP Olomouc
- 2 Dětská klinika LF UP a FN v Olomouci
- 3 Neurochirurgická klinika LF UP a FN v Olomouci
- 4 Radiologická klinika LF UP a FN v Olomouci
Streptococcus intermedius is a member of the Streptococcus milleri group. Although this is a commensal agent of the mouth andupper airways, it has been recognized as an important and rare pathogen in the formation of abscesses. We report a five-year-oldgirl with brain abscess caused by S. intermedius. The patient was addmited because of developing fibrile meningeal syndromeand periodontal inflammation due to untreated teeth. Her diagnosis was obtained by brain imaging combined with culture ofpurulent content from brain abscess. The outcome was favorable after antibiotic therapy and abscess drainage.
Keywords: brain abscess, Streptococcus intermedius, child, periodontal inflammation
Published: October 1, 2017 Show citation
| ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
Mihál V, Neklanová M, Klásková E, Krahulík D, Michálková K. An uncommon brain abscess caused by Streptococcus intermedius due to periodontal inflammation. Pediatr. praxi. 2017;18(4):254-257. doi: 10.36290/ped.2017.050.
References
- Xiao F, Tseng MY, Teng LJ, et al. Brain abscess: clinical experience and analysis of prognostic factors. Surg Neurol 2005; 63: 442-450.
Go to original source... 
Go to PubMed... - Shachor-Meyouhas Y, Bar-Joseph G, Guilburd JN, et al. Brain abscess in children - epidemiology, predisposing factors and management in the modern medicine era. Acta Paediatr; 2010; 99(8): 1163-1167. Go to original source... Go to PubMed...
- Yakut N, Kepenekli E, Karaaslan A, et al. Brain absces due to Streptococcus intermedius secondary to mastoiditis in a child. Springerplus 2015; 4: 809. Go to original source... Go to PubMed...
- Esposito S, Bosis S, Dusi E, et al. Brain abscess due to Streptococcus intermedius in a 3-year-old child. Pediatr Int 2011; 53: 1104-1105. Go to original source... Go to PubMed...
- Jouhadi Z, Sadiki I, Najb J. Streptococus intermedius: a rare case of brain abscess in children. Arch Pediatr 2013; 20(3): 282-285. Go to original source... Go to PubMed...
- Clarridge 3rd JE, Attorri S, Musher DM, et al. Streptococcus intermedius, Streptococcus constellatus, and Streptococcus anginosus (Streptococcus milleri group) are of different clinical importance and are not equally associated with abscess. Clin Infec Dis 2001; 32: 1511-1515. Go to original source... Go to PubMed...
- Tran MP, Caldwell-McMillan M, Khalife W, et al. Streptococcus intermedius causing infective endokarditis and abscess: a report of three cases and review of literature. BMC Infectious Diseases. 2008; 8: 154. Go to original source... Go to PubMed...
- Tsuang FY, Lin YT, Yen DH, et al. Rapid identification of Streptococcus intermedius by multiplex polymerase chain reaction 1 week before culture positivity in a patient with antibiotic-treated thalamic brain abscess. J Microbiol Immunol Infect 2016; S1684-1182(16)30030-5. doi: 10.1016/j.jmii.2016.04.001. Go to original source... Go to PubMed...