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"A brain abscess can be treated, a glioblastoma cannot," Muizelaar told me.
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Fistulous tracts, abscess, can be excluded on CT scan.
Splenectomy for splenic abscess can be safely tackled by laparoscopy.
Although broad spectrum antibiotics can be effective for small abscesses, larger abscesses can be recalcitrant and difficult to treat with antibiotics.
Some of these abscesses can be life threatening.
If the infection spreads from the extra-axial space to the brain parenchyma, focal cerebritis and later brain abscess can develop.
Abscesses of the brain can be bacterial, parasitic or fungal in origin.
If a full blown abscess has formed, a fluid collection with a well-defined enhancing rim with mass effect and pronounced swelling of the surrounding brain parenchyma can be seen both on CT and MRI (Fig. 13).
Brains can be enhanced.
The source of brain abscess should be identified for the dual purpose of eliminating the source itself and gaining insight into the probable bacteriologic characteristics of the abscess.
However, as patients with brain abscess are heterogeneous, the outcome is critically dependent on baseline characteristics.
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