Article in Japanese

Multiple brain abscesses due to Streptococcus intermedius in a 3-year old child

Yuh FUJIWARA, Akiyoshi NARIAI, Kentaro IWASAWA, Sayumi SUZUKI, Toru UCHIMURA

Streptococcus intermedius is a gram-positive cocci belonging to the S. aniginosus group of Oral Streptococci. It presents in the mouth of humans and, unlike other Oral Streptococci, is characterized by forming abscesses in the brain and liver. This study hereby reports a 3-year-old girl who exhibited multiple cerebral abscesses due to Streptococcus intermedius. The subject also suffered from pneumonia as a complication, which confused the focus on diagnosis and treatment. The girl was finally diagnosed 3 weeks following her complaint of an aggravating headache and after she had been observed sleeping most of the time. The diagnosis was obtained, based on the findings of a head CT scan and culture of cerebrospinal fluid, and a good result was obtained after treatment with antibacterial drugs and abscess drainage.

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Department of Pediatrics, Yokohama Minami Kyosai Hospital

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Received	March 12, 2013
Accepted	June 10, 2013

25 (3)：269─273,2013