Sandbox brain abscess

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Treatment of brain abscess requires a multidisciplinary approach to delineate extent of infection, plan stereotactic trajectory, aspirate purulent materials, lower intracranial pressure, identify causative pathogen, and administer appropriate antibiotics.

Antimicrobial Therapy – Empiric Therapy

  • Cefotaxime 8–12 g/day q4–6h OR Ceftriaxone 4 g/day q12h AND
  • Metronidazole 30 mg/kg/day q6h
  • Meropenem 6 g/day q8h
  • Antimicrobial Therapy – Pathogen-Based Therapy

    References