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ORCID (Optional)

https://orcid.org/0000-0003-0504-753X

Document Type

Case Report

Disciplines

Bacterial Infections and Mycoses | Higher Education | Medicine and Health Sciences

Abstract

We report a case of a male in his thirties who presented with rapidly progressive encephalopathy, mediastinal abscess, and multiple ring-enhancing lesions throughout the brain. Extensive evaluation revealed Streptococcus intermedius septic emboli to the brain from dental sources via a right-to-left anatomic shunt. The patient completed an 11-week course of IV antibiotic therapy after which he made a near complete recovery. We provide a comprehensive review of the literature with Streptococcus intermedius CNS septic emboli and source of infection.

DOI

https://doi.org/10.32873/unmc.dc.gmerj.5.2.003

Keywords

CNS septic emboli, S. intermedius, odontogenic

Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Figure 1.pdf (259 kB)
MRI of a 34-year-old patient with diffuse ring-enhancing lesions of the brain.

Table 1.pdf (183 kB)
Literature review of case reports of Streptococcus intermedius septic emboli to the brain

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