Fatal subdural empyema caused by Streptococcus constellatus and Actinomyces viscosus in a child—Case report

Bouziri, Asma; Khaldi, Abdelhamid; Smaoui, Hanène; Menif, Khaled; Jaballah, Nejla Ben

doi:10.1016/j.jmii.2010.03.002

Cited by 17 publications

(14 citation statements)

References 7 publications

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“…Clinicians should be aware of the possibility of actinomycosis in the CNS, especially in patients with neurological symptoms who have a history of actinomycosis elsewhere in the body (143). Pediatric cerebral actinomycosis cases are very rare; A. israelii was detected in a 10-year-old boy with congenital heart disease (144), and "A. viscosus" together with Streptococcus constellatus were detected in an immunocompetent 7-year-old girl, who died due to subdural empyema (145). In the latter case, again, poor dental health was suspected to be a predisposing factor.…”

Section: Other Types Of Actinomycosismentioning

confidence: 99%

Actinomyces and Related Organisms in Human Infections

2015

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SUMMARY Actinomyces israelii has long been recognized as a causative agent of actinomycosis. During the past 3 decades, a large number of novel Actinomyces species have been described. Their detection and identification in clinical microbiology laboratories and recognition as pathogens in clinical settings can be challenging. With the introduction of advanced molecular methods, knowledge about their clinical relevance is gradually increasing, and the spectrum of diseases associated with Actinomyces and Actinomyces -like organisms is widening accordingly; for example, Actinomyces meyeri , Actinomyces neuii , and Actinomyces turicensis as well as Actinotignum (formerly Actinobaculum ) schaalii are emerging as important causes of specific infections at various body sites. In the present review, we have gathered this information to provide a comprehensive and microbiologically consistent overview of the significance of Actinomyces and some closely related taxa in human infections.

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Section: Other Types Of Actinomycosismentioning

confidence: 99%

Actinomyces and Related Organisms in Human Infections

2015

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“…Βrain abscesses and SEs due to S. constellatus have been described, but are rare [8][9][10][11][12][13]. In some of the cases described to date, S. constellatus was isolated as part of mixed flora [10,12], while in others, like ours, it was the only pathogen recovered [8,9,11,13]. Table 1 summarizes reported cases of brain abscesses and SEs due to S. constellatus and their eventual outcome.…”

Section: Discussionmentioning

confidence: 84%

Subdural empyema of odontogenic origin due to Streptococcus constellatus

Mantadakis

Kontogianidis

Deftereos

et al. 2015

J Pediatr Infect Dis

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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.

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“…It is important to recognize intracranial complications which require immediate medical and surgical intervention. Various reported cases of pediatric subdural empyema with clinical profile, site of empyema, treatment, and outcome are summarized in Table 1 [1,8,11,24,25].…”

Section: Discussionmentioning

confidence: 99%

Interhemispheric and Infratentorial Subdural Empyema with Preseptal Cellulitis as Complications of Sinusitis: A Case Report

et al. 2017

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Intracranial complications of paranasal sinusitis have become rare due to the use of antibiotics nowadays. However, several cases have been reported due the ability of paranasal sinusitis to cause serious complications. Once the infection spreads over the cranial structure, it could infect the orbits, underlying bones, meninges, adjacent veins, and brain. Subdural empyema is a rare but potentially life-threatening complication following paranasal sinusitis and should be considered as a neurological emergency. The location where subdural empyema may appear is a challenge in diagnosis and treatment. We report the case of a 17-year-old boy who presented in a state of somnolence due to interhemispheric and infratentorial subdural empyema with preseptal cellulitis secondary to pansinusitis. Early diagnosis and aggressive antibiotic treatment combined with neurosurgical operation were mandatorily implemented. The case was managed using a multidisciplinary approach including the ENT, eye, and nutrition departments. The boy achieved clinical improvement, with impairment of eye movement as the only persistent symptom before discharge. Daily supervision at the primary health care center with continuous antibiotic treatment was recommended to the patient. Pertinent literature with controversies in the management of subdural empyema will be briefly discussed in this case report.

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Fatal subdural empyema caused by Streptococcus constellatus and Actinomyces viscosus in a child—Case report

Cited by 17 publications

References 7 publications

Actinomyces and Related Organisms in Human Infections

Actinomyces and Related Organisms in Human Infections

Subdural empyema of odontogenic origin due to Streptococcus constellatus

Interhemispheric and Infratentorial Subdural Empyema with Preseptal Cellulitis as Complications of Sinusitis: A Case Report

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