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Journal of Case Reports
Brain Abscess with Anaerobic Gram-Negative Bacilli: Case Series
Shashidhar Vishwanath1, Padmaja Ananth Shenoy1, Ashu Gupta1, Girish Menon2, Kiran Chawla1    
Departments of 1Microbiology and 2Neurosurgery, Kasturba Medical College, Manipal University, Manipal, India.
Corresponding Author:
Dr. Padmaja Ananth Shenoy
Email: padmajashenoy@hotmail.com 
Received: 16-JUN-2016 Accepted: 16-AUG-2016 Published Online: 05-OCT-2016
DOI: http://dx.doi.org/10.17659/01.2016.0113
Abstract
Brain abscess is usually of polymicrobial etiology involving aerobic and obligate anaerobic bacteria. Anaerobic bacteria are mainly seen in brain abscesses secondary to otogenic and odontogenic source. Investigating for anaerobic etiology is usually neglected considering the tedious and time consuming process of anaerobic culture. It is necessary to perform anaerobic cultures along with routine aerobic cultures as a part of microbiological workup of abscess aspirates in patients with brain abscess which aid in providing appropriate antibiotic therapy. To highlight the significance of anaerobic cultures, we report four cases of brain abscess with anaerobic etiology from a tertiary care hospital in coastal Karnataka. 
Keywords : Anaerobic Bacteria, Bacteroides fragilis, Brain Abscess, Fusobacterium nucleatum, Polymicrobial.
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