Case report: brain and liver abscesses caused by oral infection with Streptococcus intermedius.
Organ abscesses are a rare and life-threatening complication mostly of hematogenously disseminated infections. We report a case of brain and liver abscesses. Identification of the lesions was made by contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI), respectively. An oral examination comprised an oral focus of infection. Streptococcus intermedius was isolated from oral smear, liver and ventricular drainage, and blood sample. After the commencement of antibiotic therapy, drainage of abscesses and oral rehabilitation, complete recovery was noted.
Wagner
Kai Wolfgang
KW
Department of Oral and Maxillofacial Surgery, University Hospital Freiburg, Freiburg, Germany. kai.wolfgang.wagner@uniklinik-freiburg.de
Schön
Ralf
R
Schumacher
Martin
M
Schmelzeisen
Rainer
R
Schulze
Dirk
D
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001922:Brain Abscess / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D004322:Drainage; D005491:Focal Infection, Dental / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008100:Liver Abscess / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D008279:Magnetic Resonance Imaging; D008795:Metronidazole / Q000627:therapeutic use; D010400:Penicillin G / Q000627:therapeutic use; D010508:Periodontal Abscess / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D013290:Streptococcal Infections / Q000188:drug therapy / Q000209:etiology*; D034367:Streptococcus intermedius; D014057:Tomography, X-Ray Computed / Q000379:methods
D000900:Anti-Bacterial Agents; D008795:Metronidazole; D010400:Penicillin G