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Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis
03:23

Author Spotlight: Investigating the Pathophysiology of Eosinophilic Esophagitis

Published on: May 10, 2024

746

Brain Abscess Secondary to Streptococcus Intermedius Following an EGD with Biopsy in a Patient with Eosinophilic

N Begum Ozturk1, Tatjana Blazin1, Aparna Hariharan2

  • 1Department of Internal Medicine, Beaumont Hospital, Royal Oak, Michigan.

Rhode Island Medical Journal (2013)
|March 27, 2024
PubMed

Insights

Brain abscess is a rare complication following esophagogastroduodenoscopy (EGD). This case highlights Streptococcus intermedius causing a brain abscess after EGD and esophageal biopsy for eosinophilic esophagitis.

Area of Science:

  • Neurology
  • Gastroenterology
  • Infectious Diseases

Background:

  • Brain abscess is an uncommon complication of esophagogastroduodenoscopy (EGD).
  • Reported cases linking EGD to brain abscess are scarce in medical literature.
  • Esophagogastroduodenoscopy involves procedures like esophageal biopsy which can potentially lead to complications.

Purpose of the Study:

  • To report a rare case of brain abscess following EGD.
  • To highlight the association between EGD and brain abscess formation.
  • To emphasize the need for timely diagnosis and management of brain abscess post-EGD.

Main Methods:

  • Case report detailing a patient's clinical presentation and diagnostic process.
  • Review of relevant literature on EGD-associated brain abscesses.
  • Microbiological identification of the causative agent, Streptococcus intermedius.

Main Results:

  • A patient developed a brain abscess caused by S. intermedius shortly after undergoing EGD with esophageal biopsy.
  • The patient presented with neurological symptoms including altered mental status, headache, and dysarthria.
  • The esophageal biopsy revealed a new diagnosis of eosinophilic esophagitis.

Conclusions:

  • Esophagogastroduodenoscopy, particularly with biopsy, can rarely lead to brain abscess.
  • Prompt recognition and treatment of brain abscess are crucial for favorable outcomes.
  • This case underscores the importance of considering brain abscess in patients with neurological symptoms post-EGD.
Keywords:
Streptococcus intermediusbrain abscessesophagitis

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