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.