Brain Abscess
Antimicrobial prescribing: NHS Fife
Clinical features
- Headache – often severe and localised
- Altered mental state
- Focal neurological signs including diplopia
- High fever
- Nausea and vomiting
- Seizures
Investigations
- Blood culture
- CT brain
Infection control
Nil specific
Treatment
Discuss with Neurosurgery
Discuss with Microbiology regarding antibiotic choice. CEFTRIAXONE is a restricted antimicrobial for this indication and you will need an authorisation code
CEFTRIAXONE (IV) 2g 12 hourly
Plus
METRONIDAZOLE (IV) 500mg 8 hourly