Successful management of an unusual brain abscess with multiple locations: case report and review of literature

Abstract

Abstract Introduction: Intracranial abscesses at multiple locations are extremely rare and are associated with poor prognosis. High intracranial hypertension crisis and ventriculitis resulting from abscess rupture are fatal. Case report:Here, we reported a 15-year male patient with uncommon intracranial abscess involving the bilateral frontal lobe, falx cerebral, left tentorium, left occipital, and temporal subdural locations. Successful treatment was achieved after three aspirations and subsequent systemic anti-infective drug administrations. This patient recovered uneventfully, and follow-up magnetic resonance imaging revealed that the lesions had almost completely disappeared. Conclusion: This is an extremely rare case of brain abscess in multiple locations. Establishing a timely diagnosis, such as by several cultures of pus and genetic testing, is essential for the proper management of atypical cerebral abscesses.