Sandbox john

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Unfavorable Prognostic Factors
  ▸  Presenting with encephalopathy or coma
  ▸  Younger than 10 years or elderly
  ▸  Late start of antibiotics
  ▸  Sterile cultures
Favorable prognostic factors
  ▸  Craniotomy instead of burr holes as surgical procedure
  ▸  Early treatment
  ▸  Young age (optimal between 10-20 years)
  ▸  Patient presents awake, alert and oriented
  ▸  Source of infection: paranasal sinuses
  ▸  Aerobic streptococci isolated in culture
  ▸  Aerobic streptococci as single pathogen