Enterococcal cerebellopontine angle abscess in a 12-year-old female

• Main Authors: Alka Sonavane, Vasant Baradkar, Simit Kumar
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2010-01-01
• Series: Journal of Global Infectious Diseases
• Subjects: Brain abscess; Computerized tomography; Enterococcus species
• Online Access: http://www.jgid.org/article.asp?issn=0974-777X;year=2010;volume=2;issue=1;spage=67;epage=69;aulast=Sonavane

Despite advances in imaging and antibiotic treatment, brain abscess is still encountered occasionally. Various aerobic and anaerobic bacteria have been reported as causative agents of brain abscess but only a few cases of enterococcal brain abscesses have been reported. Here we report a case of brain abscess in a 12-year-old female patient, who presented with a history of fever, chills, headache, convulsions since seven days and history of altered sensorium and aphasia since the last two days . The patient had chronic suppurative otitis media of both ears following trauma and presented with ear discharge. The diagnosis of brain abscess was done by computerized tomography scan and the pus was aspirated by left suboccipital burr hole operation. Enterococcus species was cultured from the aspirated pus sample. The patient responded to surgical drainage and antibiotic treatment.