A 55-year-old man with chronic suppurative otitis media develops a temporal lobe brain abscess. CT brain shows a 3 cm ring-enhancing lesion in the

Question

A 55-year-old man with chronic suppurative otitis media develops a temporal lobe brain abscess. CT brain shows a 3 cm ring-enhancing lesion in the right temporal lobe with surrounding oedema. He has headache, fever, and expressive dysphasia. What empirical antibiotic regimen covers the most likely organisms?

Accepted Answer

IV Ceftriaxone 2 g BD plus IV Metronidazole 500 mg TDS

Answer

IV Flucloxacillin alone as the preferred next step

Answer

IV Vancomycin alone as the preferred next step

Answer

Oral Amoxicillin only as the preferred next step

Answer

IV Meropenem alone as the preferred next step

Otogenic Brain Abscess — SCE Infectious Diseases MCQ