Brain abscess secondary to Streptococcus constellatus in a healthy child.

Abstract

Brain abscess in pediatric patients carries significant morbidity and mortality risk, requiring prompt diagnosis and multidisciplinary management approach. We report the case of a previously healthy 15-year-old male presenting with complaints of fever, headache, and somnolence. Magnetic resonance imaging identified a brain abscess, leading to empiric treatment with ceftriaxone, vancomycin, and metronidazole, followed by urgent surgical drainage. Abscess culture yielded Streptococcus constellatus, and treatment was narrowed to ceftriaxone. This case emphasises the importance of early recognition and immediate intervention for suspected brain abscess in healthy children.