CEREBRAL ABSCESS

Clinical case Chief Complaints A 20 yr old student is complaining of sore throat pain in the right ear with discharge which developed three days after A trauma in the head during playing. He was always in good health. No fracture in skull, no obvious head injury. After 3 days he developed high fever headache transient loss of consciousness lasted for few seconds blurring of vision followed by convulsion History Not a DM/HTN Vitals Stable Physical Examination Neck rigidity present Weakness on the left side of body Muscle tone increase on the left side All reflexes on the left side exaggerated Plantar extensor on both sides Homonymous hemianopia left side Ataxia left side Two point discrimination present No sensory change Fundoscopy normal Investigations Lumbar puncture and CSF study show Pressure 30 cm of H20 Normal 50 to 180 Cells 4/ cmm all lymphocytes Protein 15 mg/dl Glucose 41 mg/dl Diagnosis CEREBRAL ABSCESS Management Discuss management drs

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SUGGESTIVE. OF. SEPSIS WITH BRAIN. ABSCESS... SECONDARY. TO THROAT. AND ... RT. EAR. INFECTION... NEEDS IMMEDIATE. I C U. MANAGEMENT 1. C T. SCAN.... TO. LOCATE ..BRAIN. ABSCESS.. 2. C T. GUIDED.... STEREOTACTIC. .. ASPIRATION..... BEFORE. IT. GETS. ...ENCAPSULATED... 3. INFUSION.... .. TAZOBACTUM. +. PIPERACILLIN 4 LINEZOLID 6. CULTURE. AND. SENSITIVITY. TESTS

Thank you doctor
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? BRAIN ABSCESS .. MANAGEMENT .. HOSPITALIZATION IN HIGHER CENTERS.. CTCE STUDY BRAIN .. PUS .. C AND S..EXAMINATION.. HEMOGRAM.. URINE ROUTINE.. IV..FLUIDS.. ANTIBIOTICS INFECTIONS..

Tnx Dr Dinesh Gupta
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The abscess has to be drained out and specific antibiotics after C/S of pus should be administered till then Inj Ceftrioxone & Inj Amikacin should be given by I v route

Post the MRI film. What about the CBC,ESR ,CRP,Blood culture??

adv to neurosurgeon opinion and need further procedure and medication

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