Examination of the respiratory system and cardiovascular system revealed a typical picture, and there were no significant ear, nose, and throat (ENT) findings. Her power, coordination, and reflexes were intact, and her toes were down going. On physical examination, the patient had meningeal signs and altered sensorium with a Glasgow Coma Scale (GCS) of 10. On initial evaluation, she had a temperature of 99☏, blood pressure of 120/85 mmHg, respiratory rate of 29 per minute, heart rate of 99 beats per minute, and oxygen saturation of 99% on room air. She had no relevant past medical history and no history of weakness of limbs, chronic fever, or trauma. She also had a history of slowly progressing apathy, clumsiness, and disorientation. On her recent follow-up visit, she was doing well.Ī 17-year-old girl was brought by her parents with one episode of a generalized tonic-clonic seizure, intermittent high-grade fever, headache, and vomiting for the last seven days. A repeat CT revealed a significant reduction in abscess size, and improvement in her condition was observed. Culture sensitivity revealed extended-spectrum B-lactamase production, and she was commenced on intravenous carbapenem in addition to existing drugs. The non-foul smelling pus was drained through a craniotomy, and pus culture showed P. She was commenced on empiric ceftriaxone, amikacin, and metronidazole. Brain computed tomography (CT) revealed a cystic lesion in the left temporal lobe with perilesional edema and a slight midline shift. The laboratory analysis revealed leukocytosis and elevated erythrocyte sedimentation rate. She had meningeal signs and altered sensorium with a Glasgow Coma Scale of 10. A 17-year-old girl presented with generalized tonic-clonic seizure, high-grade fever, headache, and vomiting with a history of slowly progressing apathy, clumsiness, and disorientation.

An intracranial abscess caused by Proteus mirabilis is rarely reported in adults.

Proteus 9.0