Streptococcus oralis as a risk factor for middle cerebral artery thrombosis.

Abstract:

:We reported a case of an 8-year-old boy who was presented to the emergency department with left-sided hemiparesis. Computed tomography showed hypodense areas in the territory of the right middle cerebral artery, indicating acute cerebral infarct. Diagnostic evaluation was performed to identify the etiology. On the eighteenth day of hospitalization, cerebrospinal fluid cultures yielded Streptococcus oralis. We hypothesized that the source of the oral pathogen was an abscess belonging to his upper left fourth tooth, which, by a transient bacteremia, had invaded the central nervous system, and skipping the meninges caused local inflammatory arteritis of the carotid artery, leading to cerebral infarction. Sulbactam-ampicillin therapy was initiated for 14 days, and he was discharged with anticoagulation therapy.

journal_name

J Child Neurol

authors

Kazanci E,Oguz KK,Gurgey A,Topçu M

doi

10.1177/08830738050200071401

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

611-3

issue

7

eissn

0883-0738

issn

1708-8283

journal_volume

20

pub_type

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