Subdural empyema of odontogenic origin due to Streptococcus constellatus
03 November 2013
20 November 2013
28 July 2015 (online)
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.