title: Fatal subdural empyema caused by Streptococcus constellatus and Actinomyces viscosus in a child--case report.
abstract: 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.
authors.affiliation: Pediatric Intensive Care Unit, Children's Hospital of Tunis, Place Bab Saadoun, Tunis, Tunisia. asma.bouziri@yahoo.fr
authors.forename: Asma
authors.initials: A
authors.lastname: Bouziri
authors.forename: Ammar
authors.initials: A
authors.lastname: Khaldi
authors.forename: Hanène
authors.initials: H
authors.lastname: Smaoui
authors.forename: Khaled
authors.initials: K
authors.lastname: Menif
authors.forename: Nejla
authors.initials: N
authors.lastname: Ben Jaballah
mesh_terms: D016924:Actinomyces viscosus / Q000302:isolation & purification*; D000196:Actinomycosis / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D002648:Child; D060085:Coinfection / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology; D013354:Empyema, Subdural / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006257:Head / Q000000981:diagnostic imaging; D006801:Humans; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology; D034365:Streptococcus constellatus / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed