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Subdural Empyema Of Odontogenic Origin Due To Streptococcus Constellatus

E. Mantadakis, K. Kontogianidis, S. Deftereos, M. Panopoulou, A. Ramatani, T. Birbilis, A. Chatzimichael
Published 2015 · Medicine

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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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