Affiliations: Department of Pediatrics, University General Hospital
of Alexandroupolis, Thrace, Greece | Department of Neurosurgery, University General
Hospital of Alexandroupolis, Thrace, Greece | Department of Radiology and Medical Imaging,
University General Hospital of Alexandroupolis, Thrace, Greece | Department of Microbiology, University General
Hospital of Alexandroupolis, Thrace, Greece
Note: [] Correspondence: Elpis Mantadakis, MD, PhD, Associate Professor
of Pediatrics and Pediatric Hematology/Oncology, Democritus University of
Thrace Faculty of Medicine, 6th Kilometer Alexandroupolis-Makris, 68 100
Alexandroupolis, Thrace, Greece. Tel.: +30 25510 74411; Fax: +30 25510 30340;
E-mail: emantada@med.duth.gr
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.
