PT  - JOURNAL ARTICLE
AU  - Amit Verma
AU  - Saad Qutab
AU  - Mahum Baig
TI  - Medullary brain abscess secondary to dental procedure caused by <em>Streptococcus intermedius</em>
AID  - 10.1136/bcr-2020-240769
DP  - 2021 Jun 01
TA  - BMJ Case Reports
PG  - e240769
VI  - 14
IP  - 6
4099  - http://casereports.bmj.com/content/14/6/e240769.short
4100  - http://casereports.bmj.com/content/14/6/e240769.full
SO  - BMJ Case Reports2021 Jun 01; 14
AB  - Brainstem abscess is an uncommon occurrence in itself and an abscess in the medulla oblongata is even rarer. Although these abscesses have established association with head and neck infections, we report the first known case of medullary abscess that was found to be strongly associated with dental procedure. Important point to note is that a simple procedure like tooth extraction can predispose spread of infective seeding to distant sites. High clinical index of suspicion and early diagnosis are essential, as if left untreated, the brainstem abscess is almost always fatal otherwise.