Enterococcus foecalis brain abscess after tympanoplasty for middle ear cholesteatoma

Despite the significant progress achieved in era of antibioticotherapy, the rate of suppurative complications of chronic otitis media (COM) remains alarming, and there is a growing evidence of unusual causative bacteria. We present a case of post-mastoidectomy wound infection caused by Enterococcus Foecalis that resulted in brain abscess and was resolved by means of a craniotomy with skull base reconstruction, revision mastoidectomy and long-term antibiotic therapy. We also discuss the possible pathogenesis of this rare complication.