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Brain abscess secondary to Streptococcus constellatus in a healthy child

Zeynep Sena Gürsoy1, Mustafa Gençeli2, Hatice Kübra Körpe Boğaz1

  • 1Departments of Pediatrics, Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.

Sudanese Journal of Paediatrics
|July 28, 2025
PubMed

Insights

Prompt diagnosis and treatment of pediatric brain abscesses are crucial. Early recognition and intervention, as shown in this case of Streptococcus constellatus brain abscess, can improve outcomes in children.

Area of Science:

  • Neurology
  • Pediatrics
  • Infectious Diseases

Background:

  • Brain abscesses in children present significant risks for morbidity and mortality.
  • Prompt diagnosis and a multidisciplinary approach are essential for effective management.

Observation:

  • A previously healthy 15-year-old male presented with fever, headache, and somnolence.
  • Magnetic resonance imaging confirmed a brain abscess.

Findings:

  • Empiric treatment included ceftriaxone, vancomycin, and metronidazole, followed by surgical drainage.
  • Abscess culture identified Streptococcus constellatus, leading to targeted ceftriaxone therapy.

Implications:

  • This case highlights the critical need for early recognition and rapid intervention in suspected pediatric brain abscesses.
  • Timely diagnosis and treatment are vital for improving outcomes in pediatric patients with brain abscess.

Keywords:
Brain abscessChildStreptococcus constellatus

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