EJMCR. 2020; 4(9): 288-291

A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents

Authors: Alessandra Iacono, Agnese Maria Addeo, Cristina Ferre, Paola Gallo, Sara Bertelli, Monica Sprocati, Luca Borgatti, Giuseppe Maggiore.

ABSTRACT

Background: A brain abscess is a rare but serious complication of sinusitis. It mostly involves adolescents and more specifically those of the male sex. A cerebral abscess is characterized by a heterogeneous clinical picture. The pathogenic organism mostly involved belongs to the Streptococcus milleri group. The diagnosis process is based on imaging. Treatment is based on an antibiotic therapy for 4-8 weeks which can be followed by surgery. Long-term sequelae occur in 40% of the cases, and mortality is about 10%. Case Presentation: This paper reports the clinical case of a 16-year-old boy affected by a sinusitis-induced brain abscess. The worsening of the clinical picture and of the neuroimaging, despite antibiotic therapy, made a surgical intervention necessary. An intravenous antibiotic therapy was administered for 2 weeks followed by oral antibiotics. Despite this, the condition of the patient was worsening, and he had to be treated again with intravenous antibiotic therapy for 4 weeks. This therapeutic choice had a positive outcome and the boy was declared healed. Conclusion: Sinusitis is an infection that can be complicated by brain abscess in 6%-8% of cases. Large-sized cerebral abscesses accompanied by neurological symptoms require prompt surgical treatment and a targeted antimicrobial therapy to reduce hospitalization and to speed up the healing process.

Keywords:
Case report, brain abscess, sinusitis.


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A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents


Authors
Alessandra Iacono
Department of Medical Sciences and Pediatrics, University of Ferrara, Ferrara, Italy
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Agnese Maria Addeo
Department of Medical Sciences and Pediatrics, University of Ferrara, Ferrara, Italy
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Cristina Ferre
Department of Medical Sciences and Pediatrics, University of Ferrara, Ferrara, Italy
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Paola Gallo
Department of Medical Sciences and Pediatrics, University of Ferrara, Ferrara, Italy
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Sara Bertelli
Department of Medical Sciences and Pediatrics, University of Ferrara, Ferrara, Italy
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Monica Sprocati
Department of Medical Sciences and Pediatrics, University of Ferrara, Ferrara, Italy
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Luca Borgatti
Department of Radiology, Neuroradiology, University of Ferrara, Ferrara, Italy
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Giuseppe Maggiore
Department of Medical Sciences and Pediatrics, University of Ferrara, Ferrara, Italy
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Correspondence to:
. Alessandra Iacono, Department of Medical Sciences and Pediatrics, University of Ferrara, University Hospital Arcispedale SantíAnna, Cona, Ferrara, Italy.; alessandraiacono@alice.it

Publication history
Received 09 Nov 2019
Revised 27 Jul 2020
Accepted 09 Aug 2020
Published online 07 Oct 2020
Published in print 17 Oct 2020

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Pubmed Style

Iacono A, Addeo AM, Ferre C, Gallo P, Bertelli S, Sprocati M, Borgatti L, Maggiore G. A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents. EJMCR. 2020; 4(9): 288-291. doi:10.24911/ejmcr/173-1573302070


Web Style

Iacono A, Addeo AM, Ferre C, Gallo P, Bertelli S, Sprocati M, Borgatti L, Maggiore G. A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents. https://www.ejmcr.com/?mno=73017 [Access: October 23, 2020]. doi:10.24911/ejmcr/173-1573302070


AMA (American Medical Association) Style

Iacono A, Addeo AM, Ferre C, Gallo P, Bertelli S, Sprocati M, Borgatti L, Maggiore G. A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents. EJMCR. 2020; 4(9): 288-291. doi:10.24911/ejmcr/173-1573302070


Vancouver/ICMJE Style

Iacono A, Addeo AM, Ferre C, Gallo P, Bertelli S, Sprocati M, Borgatti L, Maggiore G. A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents. EJMCR. (2020), [cited October 23, 2020]; 4(9): 288-291. doi:10.24911/ejmcr/173-1573302070


Harvard Style

Iacono, A., Addeo, . A. M., Ferre, . C., Gallo, . P., Bertelli, . S., Sprocati, . M., Borgatti, . L. & Maggiore, . G. (2020) A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents. EJMCR, 4 (9), 288-291. doi:10.24911/ejmcr/173-1573302070


Turabian Style

Iacono, Alessandra, Agnese Maria Addeo, Cristina Ferre, Paola Gallo, Sara Bertelli, Monica Sprocati, Luca Borgatti, and Giuseppe Maggiore. 2020. A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents. European Journal of Medical Case Reports, 4 (9), 288-291. doi:10.24911/ejmcr/173-1573302070


Chicago Style

Iacono, Alessandra, Agnese Maria Addeo, Cristina Ferre, Paola Gallo, Sara Bertelli, Monica Sprocati, Luca Borgatti, and Giuseppe Maggiore. "A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents." European Journal of Medical Case Reports 4 (2020), 288-291. doi:10.24911/ejmcr/173-1573302070


MLA (The Modern Language Association) Style

Iacono, Alessandra, Agnese Maria Addeo, Cristina Ferre, Paola Gallo, Sara Bertelli, Monica Sprocati, Luca Borgatti, and Giuseppe Maggiore. "A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents." European Journal of Medical Case Reports 4.9 (2020), 288-291. Print. doi:10.24911/ejmcr/173-1573302070


APA (American Psychological Association) Style

Iacono, A., Addeo, . A. M., Ferre, . C., Gallo, . P., Bertelli, . S., Sprocati, . M., Borgatti, . L. & Maggiore, . G. (2020) A case report of brain abscess caused by Streptococcus intermedius secondary to sinusitis in 16-year-old adolescents. European Journal of Medical Case Reports, 4 (9), 288-291. doi:10.24911/ejmcr/173-1573302070


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