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Journal of Korean Neurosurgical Society > Volume 13(4); 1984 > Article
Journal of Korean Neurosurgical Society 1984;13(4): 761-764.
Gas-Forming Brain Abscess due to Peptostreptococcus.
Yong Kil Hong, Young Soo Ha, Choon Wong Huh, Jin Un Song
Department of Neurosurgery, Catholic Medical College, Seoul, Korea.
A gas forming brain abscess that was resistant to treatment with antibiotics, blycerol, and steroids is reported. A CT scan showed a frontal epidural gas shadow which progressed in 3 weeks to massive frontal cerebritis with gas within the abscess, ventricle, and basal cisterns. An anaerobic culture of CSF revealed peptostreptococus, which was been increasing recently as a causative organism in brain abscess. We feel that the primary management of brain abscess should be surgical excision followed by appropriate antibiotic therapy.
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