Önder KİLİÇASLAN, Didem KIZMAZ İŞANÇLI, Esmanur FİL, Ecem ERTÜRK UZUNDAL, Adem KARBUZ

Diş Çürümesine İkincil Olarak Yüzde Gelişen Streptococcus Constellatus'un Neden Olduğu Apse: Olgu Sunumu

Bilinen bir hastalık öyküsü olmayan altı yaşında bir erkek hasta, diş absesine ikincil gelişen ve fistülize olan cilt apsesinden alınan mikrobiyolojik incelemede alışık olmadığımız bir etken olan Streptococcus constellatus üremesi sebebiyle sunuldu. Hasta yüzün sol yarısında izlenen kızarıklık, şişlik ve hassasiyet ile başvurdu. Hastanın üç hafta önce çenede şişlik ve diş çürüğü şikayetleri ile diş hekimine gittiği öğrenildi. Lökosit sayısı 22.600/μL (nötrofil: 17.190/μL), C-reaktif protein 105,2 mg/L idi. Hastaya intravenöz klindamisin ve sefoperazon-sulbaktam tedavisi başlandı. Apse kendiliğinden drene oldu. Kültürde S. consellatus üredi. Mevcut tedavi ampisilin-sulbaktam ile değiştirildi. Yatışının yedinci gününde lezyonun neredeyse tamamen gerilediği görüldü. S. constellatus nadir görülen ancak yol açtığı apseler nedeniyle dikkat edilmesi gereken bir mikroorganizmadır.

Anahtar Kelimeler:

Apse, Çocuk, Diş Çürüğü, Streptococcus milleri, Streptococcus constellatus

Abscess Caused by Streptococcus Constellatus Secondary to Tooth Decay on Facial Skin: Case Report

A six-year-old male patient with no known history of disease was presented due to an unfamiliar Streptococcus constellatus growth that developed alongside a tooth abscess and fistulized. The patient was admitted with redness, swelling, and tenderness in the left-most section of his face. We learned that the patient visited a dentist three weeks prior due to complaints of swelling in the jaw and tooth decay. The patient had a leukocyte count of 22,600/μL (neutrophil: 17,190/μL), C-reactive protein level was 105.2 mg/L. The patient was put on an intravenous treatment of clindamycin and cefoperazone-sulbactam. There was spontaneous discharge in the abscess. S. constellatus grew in abscess culture dish. The current therapy was changed to ampicillin-sulbactam. Observations on the seventh day of hospitalization showed that the lesion had subsided almost entirely. S. constellatus is a rare microorganism that produces abscesses and requires immediate medical attention.

Keywords:

Abscess, Child, Streptococcus milleri, Streptococcus constellatus, Tooth Decay,

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