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J Pediatr Infect Dis 2014; 09(01): 047-050
DOI: 10.3233/JPI-140409
Case Report
Georg Thieme Verlag KG Stuttgart – New York

Subdural empyema of odontogenic origin due to Streptococcus constellatus

Elpis Mantadakis
a   Department of Pediatrics, University General Hospital of Alexandroupolis, Thrace, Greece
,
Kosmas Kontogianidis
b   Department of Neurosurgery, University General Hospital of Alexandroupolis, Thrace, Greece
,
Savas Deftereos
c   Department of Radiology and Medical Imaging, University General Hospital of Alexandroupolis, Thrace, Greece
,
Maria Panopoulou
d   Department of Microbiology, University General Hospital of Alexandroupolis, Thrace, Greece
,
Anna Ramatani
a   Department of Pediatrics, University General Hospital of Alexandroupolis, Thrace, Greece
,
Theodosios Birbilis
b   Department of Neurosurgery, University General Hospital of Alexandroupolis, Thrace, Greece
,
Athanassios Chatzimichael
a   Department of Pediatrics, University General Hospital of Alexandroupolis, Thrace, Greece
› Author Affiliations
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Further Information

Publication History

03 November 2013

20 November 2013

Publication Date:
28 July 2015 (online)

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Abstract

A 9-year-old boy with multiple decayed teeth developed right eye preseptal cellulitis and left subdural empyema due to Streptococcus constellatus. He recovered after neurosurgical evacuation of the empyema and antibiotic treatment with high-dose intravenous ampicillin for three weeks. Poor oral hygiene predisposes to hematogenous and possibly fatal dissemination of rare oral commensals to the subdural space.

Keywords

Children - Streptococcus constellatus - subdural empyema