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Abstract
To study the etiological and
pathological factors of brain abscess and to relate
with the final outcome.
Methods: In this observational study patients with
brain abscess were observed in detail with the
clinical profile, etiology, microbiology and their
final outcome after one year.Chi-square test was
applied to associate etiological and pathological
factors with management outcome.
Results: The majority of patients were in their 2nd
and 3rd decade of life with two third proportion
comprising of males. The most frequent etiological
factor was chronic suppurative otitis media (CSOM)
( 55%),followed by head injury (12% ) and congenital
heart disease (10%). Microbiological data revealed
16% streptococci, 10% staph. aureus, 7% staph.
epidermidis and 5% proteus as major pathogens in
the study patients. Head injury and CSOM were
found associated with death and morbidity in this
study.
Conclusion: Brain abscess has multi dimensional
causes. CSOM and head injury were found
associated with death and severe morbidity as
hemiparesis and fits. CT findings and
microbiological data were not associated with
outcome.