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Brain Abscess


Brain abscess is a focal collection of pus/necrotic tissue within the brain parenchyma, which can arise as a complication of a variety of infections, trauma or surgery. The manifestations of brain abscess depends on the site, size and the immune status of the patient 


Diagnostic Criteria

  • Headache is the most common symptom

  • Fevers  

  • Focal neurological deficit

  • Vomiting and lethargy may progress to coma

  • A ring enhancing lesion demonstrated by a CT scan of the brain. 

Non-Pharmacological Treatment

Brain abscess is generally managed by:

  • Controlling fever and pain with Paracetamol

  • If unconscious, insert NGT for feeding and urethral catheter 


Pharmacological Treatment:

Management of Brain Abscess

Brain abscess management-ulyclinic

Note: Where the patient is allergic to penicillin, chloramphenicol 500 mg IV every 6 hours can be used instead 


All patient with a brain abscess should be referred to a neurosurgeon 

Updated on, 31.10.2020


1. STG 

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