Streptococcus constellatus is an extremely rare cause of
pyogenic spondylodiscitis. Literature search yielded only
one case report in an elderly 72 years old man with
spontaneous T10-T11 S. constellatus spondylodiscitis. It is
virtually unheard of in young teenage. We report the case of
a 14 years old male teenager who presented with worsening
low back pain for one year with no neurological deficit.
Imaging studies were consistent with features of L4-L5
spondylodiscitis. CT guided biopsy grew a pure culture of
streptococcus constellatus sensitive to penicillin and
erythromycin. He showed full recovery with six weeks of
intravenous antibiotics. Due to the insidious onset, this case
highlight the importance of high clinical suspicion and early
diagnosis, with image guided biopsy followed by treatment
with appropriate intravenous antibiotics to enable full
recovery without further neurological deterioration.
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