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- Title
A case series of brain abscesses: an eleven-year retrospective single center study.
- Authors
Waked, Rami; Tarhini, Hassan; Mansour, Hussein; Saliba, Gebrael; Chehata, Nabil; Chedid, Marie; Haddad, Elie; Choucair, Jacques
- Abstract
Introduction: We lack data on the epidemiology and management of brain abscesses in the Middle East. The aim of this study is to report a case series of brain abscesses admitted at a tertiary care center in Lebanon, between January 2008 and December 2018. Methodology: This retrospective study aimed at determining the demographic data, treatment, and correlations between different studied variables with prognosis of patients that received treatment. Results: Forty-one patients (30 males) were included with a median age of 37 years (2-85). The analysis showed that the classic triad of fever, headache and neurologic deficit was only present in 12% of patients on admission. The source of infection was contiguous in 36.5%, post surgical in 32%, and distant in 17% of cases. Stereotactic biopsy was performed in 41.5% of patients, and craniotomy in 19.5%. A microorganism was isolated in 63% of patients (26 cases). The most used antibiotics were carbapenems (46%) and glycopeptides (66%). Eighty percent of patient (33) had a good outcome. A worse prognosis was significantly correlated with immunosuppression and multiple cerebral abscesses. Conclusions: Brain abscess remains a relatively rare condition.
- Subjects
LEBANON; MIDDLE East; BRAIN abscess; PROGNOSIS; HOSPITAL admission &; discharge; CARBAPENEMS
- Publication
Journal of Infection in Developing Countries, 2021, Vol 15, Issue 6, p791
- ISSN
2036-6590
- Publication type
Article
- DOI
10.3855/jidc.12816