Otogenic brain abscess in Peshawar

ABSTRACT

Thirty patients with otogenic brain abscess were studied prospectively to document the presenting features, clinical and laboratory data, and the types of organism involved. Extra-dural abscess was present in 16 [53.3%], cerebellar abscess in 7 [23.3%], temporal lobe abscess in 5 [16.7%], and subdural abscess in 2 [6.6%], of the patients studied. The presenting features were similar, except for nystagmus which was present only in patients with cerebellar abscess. C.S.F. examination gave abnormal results in all 7 [23.3%] cases in which it was examined. Proteus vulgaris was the most common organism grown from the pus and this accounted for 43% of the cases. E. coli was grown from 14.2% of cultures. The mortality was 17% while 33% recovered