Streptococcus intermedius as causative agent of perianal abscess and metastatic brain abscess

Perianal fistula is a common chronic lesion which usually ensues from a close abscess. Local pulsating pain and leakage from a de novo cutaneous orifice are the most common clinical presentations. Brain abscess represents an extremely rare complication of perianal disease (fistula or abscess), as only 4 cases have been reported in the pertinent world literature