Case 4 - patient with a CNS abscess – anaerobic coverage

Question 1

General info - no need to memorize

Answer 1

A 42-year-old man undergoes several dental procedures, several days later becomes lethargic and confused. A CT is performed – abscess

Question 2

Empiric antibiotic therapy is started with: 2

Answer 2

Ceftriaxone (3rd generation cephalosporins for Gram negative and streptococci)

Metronidazole (for anaerobes)

Question 3

GI infections and abscesses are often the result of these bacteria

Answer 3

Anaerobes

Question 4

Antibiotics that cover anaerobes - 4

Answer 4

Metronidazole – 1st line
Clindamycin –mostly for Gram + but also anaerobes
Penicillin+ beta lactamase inhibitors
Carbapenems