Keywords
Otogenic brain abscess, candidaemia
Abstract
An otogenic origin is identified in over half of cases pertaining to brain abscess. They are typically associated with either mastoiditis, cholesteatoma or otitis media and carry a risk of mortality in the region of twenty per cent. We describe the case of a 71-year-old gentleman presenting with acute confusion and unilateral neurology in the absence of systemic signs of sepsis or associated laboratory biomarkers who was diagnosed with a particularly large spherical temporal lobe brain abscess of 5cm diameter on neuroimaging. This abscess was treated successfully with craniotomy, evacuation and a prolonged course of anti-microbials enabling him to return to his pre-morbid level of functioning. His prolonged course of anti-microbials was complicated by a candidaemia and colonisation of an indwelling central venous catheter that was treated successfully with antifungals.
References
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Published:
2023-04-06
Issue:
2023: Vol 10 No 4
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