![]() Need CT guided aspiration of lesion/ biopsy for gram stain and start on empiric IV antibiotics (metro, ceftriax, vanc) Tx is aspiration/surgical drainage & prolonged antibiotic therapy. If diagnosis delayed-> focal neuro deficits or seizuresĬan spread hematogenously (hence endocarditis) ![]() In this case pt had sinusitis that lead to brain abscess (air fluid levels in paranasal sinuses on CT) CT or MRI= **single ring-enhancing lesion with central necrosis. Headache, fever, focal neurologic deficits may be present. ![]() ![]() 2 most common are viridans strep and staph aureues. Seizures and signs of sinusitis and contrast enhancing single lesion= ** single brain abscess due to direct extension from adjacent infection (otitis media, sinusitis or dental infection eg). ![]()
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