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Volume 44, Number 5, October 2011

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


Asma Bouziri, Ammar Khaldi, Hanène Smaoui, Khaled Menif, Nejla Ben Jaballah


Received: August 4, 2009    Revised: January 21, 2010    Accepted: March 21, 2010   

 

Corresponding author:

Asma Bouziri, Pediatric Intensive Care Unit, Children’s Hospital of Tunis, Place Bab Saadoun, Tunis, Tunisia



 

Background and purpose: 

Group milleri streptococci that colonize the mouth and the upper airways are generally considered to be commensal. In combination with anaerobics, they are rarely responsible for brain abscesses in patients with certain predisposing factors. Mortality in such cases is high and complications are frequent. We present a case of fatal subdural empyema caused by Streptococcus constellatus and Actinomyces viscosus in a previously healthy 7-year-old girl.



 

Key words:

Actinomyces viscosus, Empyema, Streptococcus constellatus, Subdural