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Streptococcus intermedius Brain Abscess with Lung Abscess and Aortic Valve Endocarditis: A Case Report and Literature

Francesca Gavaruzzi1, Pierangelo Chinello1, Giuseppe Cucinotta1

  • 1National Institute for Infectious Diseases "L. Spallanzani", 00149 Rome, Italy.

Infectious Disease Reports
|August 25, 2023
PubMed

Insights

Streptococcus intermedius rarely causes lung and brain abscesses simultaneously. This case highlights a rare instance of these infections alongside infective endocarditis, successfully treated with antibiotics and surgery.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Cardiology

Background:

  • Streptococcus intermedius commonly causes abscesses in the brain and liver.
  • Pleuropulmonary infections are less common, and concurrent lung and brain abscesses are rare.

Observation:

  • A 40-year-old male presented with cough, fever, and headache.
  • Diagnosis revealed a brain abscess caused by S. intermedius, a concurrent lung abscess, and native aortic valve endocarditis.

Findings:

  • Successful treatment involved surgical drainage of the brain abscess.
  • A 4-week course of intravenous ceftriaxone followed by oral amoxicillin/clavulanate achieved lesion healing.

Implications:

  • This case underscores the importance of considering S. intermedius in complex abscess presentations.
  • Highlights the successful management of a rare triad of S. intermedius infections.
  • Emphasizes the need for prompt diagnosis and multimodal treatment for such severe infections.
Keywords:
Streptococcus intermediusbrain abscesscase reportendocarditislung abscess

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