Clostridium abscess [gas gangrene] of the brain

Objective and Importance: Anaerobic brain abscesses are rare. This case is presented for the rarity of the condition. A high clinical suspicion in a given clinical setting can lead to early diagnosis and appropriate treatment. Clinical Presentation: A child with a penetrating skull trauma presented to the casualty department with fever and drowsiness. A CT scan of the brain revealed an intracerebral air locule adjacent to skull vault fracture. The air locule was thought to be due to the penetrating skull injury Post operatively it proved to be clostridium abscess which was successfully treated with surgery and intensive antibiotic therapy. Conclusion: The importance of early diagnosis is stressed