Simultaneous brain and intramedullary spinal abscesses in a patient with Streptococcus intermedius infection

• Streptococcus intermedius is a known cause of brain abscesses. Concurrent disseminated CNS infections in and spinal column rare. Imaging revealing either or abscesses may prompt evaluation other anatomical sites. A male patient his thirties presented to the hospital with meningismus altered mental status. Cerebrospinal fluid (CSF) analysis confirmed meningitis, but no microorganisms were identified. Head imaging (MRI) revealed multiple Surgically-collected specimens Gram-positive cocci subsequently grew . MRI thoracic spine also identified an intramedullary abscess. While caused by S. have been previously reported, extent disease was noteworthy.