Brain abscess: Difference between revisions

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== Microbiology ==
== Microbiology ==


* Direct spread
* '''Nose/sinuses:''' ''[[Streptococcus]]'' spp (especially ''S. milleri''), ''[[Haemophilus]]'' spp, ''[[Bacteroides]]'' spp, ''[[Fusobacterium]]'' spp
* '''Teeth:''' ''[[Streptococcus]]'' spp, ''[[Bacteroides]]'' spp, ''[[Prevotella]]'' spp, ''[[Fusobacterium]]'' spp, ''[[Haemophilus]]'' spp
** '''Nose/sinuses:''' [[Streptococcus species]] (especially ''[[S. milleri]]''), [[Haemophilus species]], [[Bacteroides species]], [[Fusobacterium species]]
* '''Ears:''' ''[[Enterobacteriaceae]]'', ''[[Streptococcus]]'' spp, ''[[Pseudomonas aeruginosa]]'', ''[[Bacteroides]]'' spp
** '''Teeth:''' [[Streptococcus species]], [[Bacteroides species]], [[Prevotella species]], [[Fusobacterium species]], [[Haemophilus species]]
* '''Lungs:''' ''[[Streptococcus]]'' spp, ''[[Fusobacterium]]'' spp, ''[[Actinomyces]]'' spp
** '''Ears:''' [[Enterobacteriaceae]], [[Streptococcus species]], [[Pseudomonas aeruginosa]], [[Bacteroides species]]
* '''Urinary tract:''' ''[[Pseudomonas aeruginosa]]'', ''[[Enterobacter]]'' spp
** '''Penetrating head trauma:''' [[Staphylococcus aureus]], [[Enterobacter species]], [[Clostridium species]]
* '''Penetrating head trauma:''' ''[[Staphylococcus aureus]]'', ''[[Enterobacter]]'' spp, ''[[Clostridium]]'' spp
** '''Neurosurgery:''' [[Staphylococcus species]], [[Streptococcus species]], [[Pseudomonas aeruginosa]], [[Enterobacter species]]
* Hematogenous spread
* '''Neurosurgery:''' ''[[Staphylococcus]]'' spp, ''[[Streptococcus]]'' spp, ''[[Pseudomonas aeruginosa]]'', ''[[Enterobacter]]'' spp
** '''Lungs:''' [[Streptococcus species]], [[Fusobacterium species]], [[Actinomyces species]]
* '''Endocarditis:''' [[Viridans streptococci]], ''S. aureus''
** '''Urinary tract:''' [[Pseudomonas aeruginosa]], [[Enterobacter species]]
* '''Congenital cardiac malformations''' (especially right-to-left shunts): ''[[Streptococcus]]'' spp
** '''Endocarditis:''' [[Viridans group Streptococci]], [[Staphylococcus aureus]]
** '''Congenital cardiac malformations''' (especially right-to-left shunts): [[Streptococcus species]]
* Immunocompromised patient
** '''HIV:''' [[Toxoplasma gondii]], [[Nocardia species]], [[non-tuberculous mycobacteria]], [[Listeria monocytogenes]], [[Cryptococcus neoformans]]
** '''Neutropenia:''' Gram-negative bacilli, [[Aspergillus species]], [[mucormycosis]], [[Candida species]], [[Scedosporium species]]
** '''Transplantation:''' [[Aspergillus species]], [[Candida species]], [[mucormycosis]], [[Scedosporium species]], [[Enterobacteriaceae]], [[Nocardia species]], [[Toxoplasma gondii]], and [[Mycobacterium tuberculosis]]
* Plus '''[[anaerobes]]''', which are common
* Plus '''[[anaerobes]]''', which are common



Revision as of 12:12, 2 December 2019