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Streptococcus constellatus causing brain abscess: a case report

Authors:Pratibha Sharma MD, Padma Das* MD, Dr. Lokesh Nehete MS, MCH, Archana B Wankhade MD
Int J Biol Med Res. 2021; 12(1): 7253-7255  |  PDF File


Brain abscess is focal suppurative infection, cases occur due to direct spread from contiguous sites. Commensals of oral cavity can also cause brain abscess due to underlying dental infections. Here we report a case of 55 years old male patient of brain abscess caused by Streptococcus constellatus which spread from pre-existing odontofacial infection for which the patient was taken onto vancomycin definitive therapy as per microbiology culture sensitivity report. Clinical diagnosis as well as prognosis was continuously evaluated by computed tomography and magnetic resonance imaging (MRI) of brain. Patient responded to the treatment and recovered. So bacterial identification and antibiotic sensitivity report of causative pathogens stands as the cornerstones for appropriate management and therapeutic optimisation. Bacterial culture sensitivity using automated system can significantly reduce the turnaround time for microbiology reporting and help in planning definitive antibiotic therapy for critical brain abscess cases leading to better prognosis.