# Brain Abscess due to Streptococcus intermedius after Spontaneous Esophageal Perforation in an Adolescent

## TL;DR

A healthy teenager developed a brain abscess from a rare bacterial infection after an esophageal perforation.

## Contribution

This case highlights the rare but severe complication of brain abscess caused by Streptococcus intermedius following esophageal perforation.

## Key findings

- Streptococcus intermedius caused mediastinal and brain abscesses in an adolescent with esophageal perforation.
- Prompt diagnosis of esophageal perforation is critical to prevent life-threatening complications.

## Abstract

Streptococcus intermedius is an inhabitant of the oral cavity and gastrointestinal tract, known to cause deep-seated abscesses. Thereby, we present a previously healthy adolescent with esophageal perforation (EP) and secondary mediastinal and brain abscesses due to Streptococcus intermedius. EP is a potentially life-threatening condition that requires a prompt diagnosis.