Shoulder girdle abscess due to Streptococcus agalactiae complicating esophageal dilation

Bacteremia can result very unusually in significant complications after eso phageal dilation, Procedure-related mucosal trauma may be a determinant, wh ereas pathogenic bacteria primarily originate from the patient's oropharyng eal flora. We describe an unusual case of Streptococcus agalactiae bacterem ia and shoulder girdle abscess complicating esophageal bougienage. Consider ation of specific risk factors and use of scrupulous procedural technique a re warranted and will likely reduce pyogenic sequelae.